CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Nationwide Children's Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $403
  • Cash Discount Price: $1,908
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Nationwide Children's Hospital is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,908. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.
Cash / Self-Pay
$1,908

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: $1,908 (783%)
Insurance Median: $403 (165%)
Cash: $1,908 (783% 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
Caresource $47 - $366 19%
Humana $75 - $2,014 31%
Ohio Ppo Connect $92 - $1,972 38%
Osu $92 - $1,972 38%
UnitedHealthcare $92 - $2,014 38%
Blue Cross Blue Shield $99 - $1,993 41%
Aetna $104 - $2,014 43%
Tricare $113 - $232 46%
Mmo $117 - $1,993 48%
Cigna $122 - $1,993 50%
Front Path Health Coalition $122 - $1,993 50%
Ohc $122 - $1,972 50%
Ohg $122 - $1,908 50%
The Health Plan $122 - $2,035 50%
Amerihealth $231 95%
Bchp $231 95%
Molina $231 95%
Ahpo $1,993 818%
Unicare $2,014 826%
Emerald Health $2,078 852%
First Health $2,078 852%
Phcs $2,078 852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Children's Drive, Columbus, OH 43205
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens