CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $3,229
Cash Discount Price: $1,652
vs. Medicare Baseline: 13.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Crystal Clinic Orthopaedic Center is $3,229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,652. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.25x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$1,652

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,229

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,652 (678%)

Insurance Median: $3,229 (1325%)

Cash: $1,652 (678% of Medicare)

Ins. Median: $3,229 (1325% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1325% of the Medicare baseline (a markup of 1225%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Bc Mcr Adv	$226	93%
Summacare Mcr Adv	$226	93%
UnitedHealthcare	$226 - $4,633	93%
The Health Plan - All Plans	$452	185%
Aultcare - All Plans	$705	289%
Health Oh Network - All Plans	$1,321	542%
Ohio Health Choice - All Plans	$1,321	542%
Med Mutual Nas	$1,374	564%
Multiplan - All Plans	$1,453	596%
Healthsmart - All Plans	$1,872	768%
Bc Pathway	$2,753	1129%
Cigna	$3,704	1519%
Bc Ohi/Ohii	$3,780	1551%
Summacare Comm - All Other Plans	$4,074	1671%
Med Mutual Medflex	$4,122	1691%
Bc Blue Access	$4,200	1723%
Bc Preferred	$4,200	1723%
Bc Trad - All Other Plans	$4,200	1723%
Med Mutual Aca	$4,689	1924%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$5,153	2114%
Aetna	$5,220	2141%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,652.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crystal Clinic Orthopaedic Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.