Ultrasound, leg veins (duplex)
Facility: Hillcrest Hospital South
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,386
- Cash Discount Price: $806
- vs. Medicare Baseline: 5.69x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 569% of the Medicare baseline (a markup of 469%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthcare Highways [2210] | $537 - $1,386 | 220% |
| Hooray Health [8000] | $537 - $806 | 220% |
| Oncology Patient Assistance Programs [2295] | $537 - $806 | 220% |
| Oscar Insurance Company [7005] | $537 - $806 | 220% |
| Osma Health Network [2345] | $537 - $806 | 220% |
| Healthscope Benefits [2290] | $759 - $1,139 | 311% |
| UnitedHealthcare | $759 - $1,139 | 311% |
| Cigna | $847 - $1,270 | 347% |
| National Association Of Letter Carriers [1695] | $847 - $1,270 | 347% |
| Pba [1775] | $847 - $1,270 | 347% |
| Aetna | $883 - $1,325 | 362% |
| Coresource [1315] | $883 - $1,325 | 362% |
| Coventry Healthcare [1320] | $883 - $1,325 | 362% |
| Meritain Health [1655] | $883 - $1,325 | 362% |
| Web Tpa [2115] | $883 - $1,386 | 362% |
| Resource One Administrators [2815] | $924 - $1,386 | 379% |
| The Kempton Group Administrators [2905] | $967 - $1,451 | 397% |
| Medica [2910] | $1,266 - $1,899 | 519% |
| Multiplan [1680] | $1,266 - $2,579 | 519% |
| Community Care [1290] | $1,612 - $2,418 | 661% |
| Employee Benefit Management Services [2445] | $1,612 - $2,418 | 661% |
| Phcs [1780] | $1,612 - $2,579 | 661% |
| Administrative Concepts [1005] | $1,719 - $2,579 | 705% |
| Allied Benefit Systems Inc [1030] | $1,719 - $2,579 | 705% |
| Allied National Global Care [1035] | $1,719 - $2,579 | 705% |
| Healthcost Solutions [2415] | $1,719 - $2,579 | 705% |
| Healthfirst [2395] | $1,719 - $2,579 | 705% |
| Hometown Health [2155] | $1,719 - $2,579 | 705% |
| Mayo Clinic Health Solutions [2280] | $1,719 - $2,579 | 705% |
| Mutual Of Omaha [1685] | $1,719 - $2,579 | 705% |
| New Era Life Insurance Company [1705] | $1,719 - $2,579 | 705% |
| Pan American Life Insurance Co [1770] | $1,719 - $2,579 | 705% |
| Planned Administrators Inc [2360] | $1,719 - $2,579 | 705% |
| Trustmark [2030] | $1,719 - $2,579 | 705% |
| Universal Fidelity [2085] | $1,719 - $2,579 | 705% |