CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $403
  • Cash Discount Price: $726
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University Hospitals Avon Rehabilitation Hospital is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $726. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$726

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $726 (298%)
Insurance Median: $403 (165%)
Cash: $726 (298% of Medicare)
Ins. Median: $403 (165% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Uh Employees (Administered By Meritian) $153 - $411 63%
Blue Cross Blue Shield $226 - $1,057 93%
Healthsmart (Formerly Emerald) $256 - $687 105%
Ohio Health Choice - Preferred Choice Plus $256 - $687 105%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $291 - $782 119%
Occunet Fka Health Ohio Network $291 - $782 119%
Paramount $295 - $1,057 121%
Ohio Preferred Network $315 - $846 129%
First Health $335 - $899 137%
Beechstreet $354 - $952 145%
Fortified $354 - $952 145%
Multiplan $354 - $952 145%
Ohio Health Choice $354 - $952 145%
Phcs $354 - $952 145%
Aetna $394 - $1,057 162%
Ambetter / Centene $394 - $1,057 162%
Amerihealth Cartias $394 - $1,057 162%
Antidote Healthe Care Of Ohio $394 - $1,057 162%
Aultcare $394 - $1,057 162%
Buckeye $394 - $1,057 162%
Caresource $394 - $1,057 162%
Caresource (Marketplace) $394 - $1,057 162%
Cigna $394 - $1,057 162%
Devoted $394 - $1,057 162%
Health Plan $394 - $1,057 162%
Humana $394 - $1,057 162%
Jp Farley (Select Employers) $394 - $1,057 162%
Medical Mutual $394 - $1,057 162%
Medical Mutual (Supermed, Trad, Medflex) $394 - $1,057 162%
Medical Mutual (Marketplace Plan) $394 - $1,057 162%
Molina $394 - $1,057 162%
Summacare $394 - $1,057 162%
United $394 - $1,057 162%
UnitedHealthcare $394 - $1,057 162%
Wellcare $394 - $1,057 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL