CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Curry General Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,651
  • Cash Discount Price: $1,738
  • vs. Medicare Baseline: 6.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Curry General Hospital is $1,651. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,738. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.77x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.
Cash / Self-Pay
$1,738

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,651

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: $1,738 (713%)
Insurance Median: $1,651 (677%)
Cash: $1,738 (713% of Medicare)
Ins. Median: $1,651 (677% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 677% of the Medicare baseline (a markup of 577%). 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.

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
Partnership Health Plan Of Calif Mdcd Hmo [2008] $202 83%
Tricare $541 222%
First Choice Health Admin [1294] $542 222%
First Choice [528] $542 222%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271] $753 309%
Medicare (plans) $753 - $1,130 309%
Blue Cross Blue Shield $886 - $1,738 363%
Medicaid / KanCare $1,095 - $1,130 449%
Department Of Corrections [1051] $1,130 464%
Coordinated Care Commercial [1649] $1,477 606%
Pacificsource [1148] $1,477 606%
Moda [512] $1,491 - $1,564 612%
Multiplan [1131] $1,582 649%
Asuris [1258] $1,651 677%
Operating Engineers [1144] $1,651 677%
Regence [1351] $1,651 - $1,738 677%
Cigna $1,703 - $1,738 699%
Coventry First Health Managed Care [1774] $1,703 699%
Coventry Health [1046] $1,703 699%
Providence Health Plan Plm Alt [1692] $1,703 699%
Providence Health Plan [567] $1,703 699%
Aetna $1,738 713%
Employee Bene Admin Mgmt [525] $1,738 713%
Geha [531] $1,738 713%
Mailhandlers Benefit Pln [547] $1,738 713%
Meritain [550] $1,738 713%
Nw Sheet Metal Workers [597] $1,738 713%
Trustmark [524] $1,738 713%
UnitedHealthcare $1,738 713%
Zenith Administrators [586] $1,738 713%
Allcare Alt [2598] $2,000 820%
Allcare [1695] $2,000 820%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 94220 Fourth Street, Gold Beach, OR 97444
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals