CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $210
Cash Discount Price: $596
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Chan Soon- Shiong Medical Center at Windber is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $596. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.86x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$596

Average discount available for prompt cash payment at this facility.

Insurance Median

$210

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: $596 (244%)

Insurance Median: $210 (86%)

Cash: $596 (244% of Medicare)

Ins. Median: $210 (86% 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
UPMC Health Plan	$86 - $342	35%
Amerihealth Caritas	$120 - $229	49%
Geisinger	$122 - $383	50%
Highmark	$134 - $456	55%
Highmark Wholecare	$134	55%
PA Health & Wellness	$137 - $229	56%
United	$151 - $361	62%
Aetna	$168 - $237	69%
Humana	$168 - $229	69%
Cigna	$171 - $421	70%
Senior Life	$171 - $232	70%
VA Ccn	$171 - $232	70%

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 $596.
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 Chan Soon- Shiong Medical Center at Windber 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.