CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hillsboro Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $289
Cash Discount Price: $1,087
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hillsboro Medical Center is $289. 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 1.19x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.

Cash / Self-Pay

$1,087

Average discount available for prompt cash payment at this facility.

Insurance Median

$289

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: $289 (119%)

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

Ins. Median: $289 (119% 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	$207 - $313	85%
Intercommunity Health Network	$207	85%
Medicare (plans)	$207 - $313	85%
Kaiser Foundation Hospitals	$212 - $777	87%
Pacific Source	$212 - $1,071	87%
Community Health Plan Of Washington	$265 - $1,673	109%
Providence Health Plan	$265 - $1,087	109%
Samaritan Health Plan	$265	109%
Trillium	$265	109%
Humana	$273 - $281	112%
UnitedHealthcare	$281 - $893	115%
Aetna	$286 - $1,506	117%
Moda	$292 - $955	120%
Health Net Health Plan Of Oregon, Inc.	$305 - $1,104	125%
Tuality Health	$477	196%
Blue Cross Blue Shield	$756	310%
Cigna	$1,154	473%
First Choice	$1,338	549%
Coventry First Health	$1,422	583%
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 Hillsboro Medical Center 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.