CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: OHSU Hospital and Clinics

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $321
Cash Discount Price: $1,087
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at OHSU Hospital and Clinics is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,087. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.32x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.

Cash / Self-Pay

$1,087

Average discount available for prompt cash payment at this facility.

Insurance Median

$321

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: $1,087 (446%)

Insurance Median: $321 (132%)

Cash: $1,087 (446% of Medicare)

Ins. Median: $321 (132% 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.

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
Care Oregon	$214 - $316	88%
Intercommunity Health Network	$214	88%
Kaiser Foundation Hospitals	$214 - $623	88%
Medicare (plans)	$214 - $429	88%
Pacific Source	$214 - $1,302	88%
Humana	$268 - $284	110%
Trillium	$268	110%
Moda	$281 - $1,031	115%
UnitedHealthcare	$284 - $1,092	117%
Aetna	$289 - $1,305	119%
Health Net Health Plan Of Oregon, Inc.	$308 - $1,296	126%
Community Health Plan Of Washington	$321 - $375	132%
Providence Health Plan	$322 - $1,422	132%
Tuality Health	$482	198%
Samaritan Health Plan	$670 - $920	275%
Blue Cross Blue Shield	$798	327%
Cigna	$835	343%
Coventry First Health	$1,255	515%
First Choice	$1,268	520%
Molina Exchange	$1,673	686%

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 $1,087.
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 OHSU Hospital and Clinics 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.