CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Akron Children's Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $299
  • Cash Discount Price: $651
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Akron Children's Hospital is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.23x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$651

Average discount available for prompt cash payment at this facility.

Insurance Median
$299

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: $651 (267%)
Insurance Median: $299 (123%)
Cash: $651 (267% of Medicare)
Ins. Median: $299 (123% 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
Aetna $31 - $1,381 13%
Blue Cross Blue Shield $31 - $1,588 13%
Buckeye Community Health Plan $31 - $209 13%
Caresource $31 - $205 13%
Molina $31 - $209 13%
Amerihealth Caritas Ohio $32 - $215 13%
Humana $32 - $1,494 13%
UnitedHealthcare $32 - $1,381 13%
Mmo $56 - $1,583 23%
Autlcare $166 - $1,269 68%
Summacare $172 - $1,317 71%
Cenpatico $209 86%
Cigna $225 - $1,386 92%
Healthplan (Hometown) $546 224%
Northern Ohio Handicapped Fund (Nohf $578 237%
Ohio Crippled Childrens Fund (Occf $578 237%
Amish Church Fund $803 329%
Medben $1,221 501%
Summa Health Employee $1,253 514%
Summacare Preferred Choice Network $1,264 519%
The Health Plan (Mountaineer Region) $1,293 530%
Avita-Osu Health Plan $1,317 540%
The Health Plan (Fna Hometown Health Network) $1,349 553%
Healthsmart (Fna Emerald Health Network) $1,405 576%
Embs/Thomas Steel $1,413 580%
Ohio Health Choice $1,413 580%
Phcs/Multiplan $1,413 580%
Enterprise Group Planning $1,445 593%
Prime Health Services $1,445 593%
Primenet $1,445 593%
Quality Care Partners $1,445 593%
Beechstreet $1,494 613%
Ohio Preferred Network $1,494 613%
Paramount $1,494 613%
Cofinity $1,510 619%
Health Reach Ohio Health Group $1,510 619%
Direct Care America $1,526 626%
First Health Network $1,526 626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens