Ultrasound, leg veins (duplex)
Facility: Pennsylvania Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $573
- Cash Discount Price: $2,362
- vs. Medicare Baseline: 2.35x 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 235% of the Medicare baseline (a markup of 135%). 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 |
|---|---|---|
| Health Partners | $91 - $4,151 | 37% |
| Horizon Nj Health | $97 - $730 | 40% |
| Gateway Health Plan | $114 - $309 | 47% |
| Medicaid / KanCare | $114 - $4,151 | 47% |
| UnitedHealthcare | $117 - $4,151 | 48% |
| Pgm - Regie De L'Assurance Maladie Quebec | $132 - $955 | 54% |
| Keystone Mercy Health Plan | $146 | 60% |
| Pa Medical Assistance | $147 | 60% |
| Preferred Health Care Eliance | $149 - $1,079 | 61% |
| Blue Cross Blue Shield | $155 - $4,151 | 64% |
| Upmc | $194 - $4,151 | 80% |
| Pgm - Kuwait Defense | $201 - $1,868 | 82% |
| Devon | $218 - $1,868 | 89% |
| Qualcare | $218 - $1,577 | 89% |
| Coventry | $229 - $2,117 | 94% |
| Pgm - Chop | $229 - $1,660 | 94% |
| Wissahickon Hospice | $229 - $1,660 | 94% |
| Medicare (plans) | $250 - $255 | 103% |
| Philadelphia Va Medical Center | $250 | 103% |
| Tricare | $251 | 103% |
| Ibc | $255 | 105% |
| Cigna | $257 - $1,009 | 105% |
| Geisinger Health Plan | $257 - $791 | 105% |
| Humana | $257 - $3,321 | 105% |
| Healthamerica/Coventry | $258 - $2,034 | 106% |
| Pa Health And Wellness | $262 - $412 | 107% |
| Penn Life (Living Independently For Elders) | $262 | 107% |
| Aetna | $265 - $4,151 | 109% |
| Clover Health Plan | $270 | 111% |
| Keystone First | $277 | 114% |
| Olympus | $278 - $2,017 | 114% |
| First Health Global | $286 - $2,076 | 117% |
| Urn-Cancer Resource Services | $286 - $2,076 | 117% |
| Us Family Health Plan | $288 | 118% |
| Health Net | $344 - $2,491 | 141% |
| Pgm - Royal Embassy Of Saudi Arabia | $344 - $2,491 | 141% |
| Elap | $354 | 145% |
| Pgm - Embassy Of Qatar | $372 - $2,698 | 153% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $372 - $2,698 | 153% |
| Claims Watcher | $399 - $449 | 164% |
| Pgm - Embassy Of The United Emirates/Ipc | $401 - $2,906 | 164% |
| Oscar Health Plan | $424 | 174% |
| Centivo | $449 | 184% |
| Devon Health Services Inc | $458 - $3,321 | 188% |
| Health America/Ccn | $458 - $3,321 | 188% |
| Intergroup | $458 - $3,321 | 188% |
| Pgm - Kuwait Health Division | $458 - $3,321 | 188% |
| Pgm - Kuwait Oil | $458 - $3,321 | 188% |
| Preferred Care | $458 - $3,321 | 188% |
| Elap Services | $464 | 190% |
| Highmark | $525 | 215% |
| Commercial Other | $573 - $4,151 | 235% |
| Community Behavioral Health | $573 - $4,151 | 235% |
| Ibc Commercial Hpn | $573 - $630 | 235% |
| International Pfs | $573 - $4,151 | 235% |
| Keystone Hmo Proactive | $573 - $646 | 235% |
| Quest Behavioral Health | $573 - $4,151 | 235% |
| United Behavioral Health | $573 - $4,151 | 235% |
| Workers Compensation | $573 - $4,151 | 235% |
| Penn Global Medicine | $661 | 271% |