CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Physicians Care Surgical Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $227
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Physicians Care Surgical Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.93x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $168 (69%)
Insurance Median: $227 (93%)
Cash: $168 (69% of Medicare)
Ins. Median: $227 (93% 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.

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
Aarp $211 87%
Aetna $211 - $637 87%
Blue Cross Blue Shield $211 - $432 87%
Cigna $211 87%
Devon Health Services $211 87%
Gpm Health And Life Insurance Mc Supplement $211 87%
Humana $211 87%
Ibc Security 65 $211 87%
Keystone 65 Hmo $211 87%
Medicare (plans) $211 87%
Pcsh Aarp $211 87%
Personal Choice 65 $211 87%
Shenandoah Life $211 87%
Tricare $211 87%
Unified Health Services $211 87%
UnitedHealthcare $211 - $447 87%
Vibra Health Plan $211 87%
Amerihealth Administrators $227 93%
Amerihealth New Jersey Hmo $227 93%
Carefirst Administrators $227 93%
Empire Plan $227 93%
Horizon Of New Jersey $227 93%
Ibc $227 93%
Ibc - Local $227 93%
Ibc 2021 $227 93%
Ibc Local $227 93%
Independence Administrators $227 93%
Independence Bc $227 93%
Independence Federal $227 93%
Keystone Direct Pos $227 93%
Keystone Healthplan East $227 93%
Keystone Hmo $227 93%
Pcsh Ibc $227 93%
Personal Choice $227 93%
Regence Blue Shield $227 93%
Connecticare $254 104%
Highmark $432 177%
Allsavers $447 183%
Golden Rule Op $447 183%
Oxford Health Plan $447 183%
Oxford Life Insurance Company $447 183%
Surest $447 183%
Ag Administrators $637 261%
Ag Administrators Inc $637 261%
Allied Benefit Systems $637 261%
Allied Benefits Systems $637 261%
Continental Benefits $637 261%
Coventry $637 261%
Geha $637 261%
Healthez $637 261%
Lucent Health $637 261%
Marpai Health $637 261%
Meritain Health $637 261%
Premier Care Network $637 261%
Trustmark $637 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals