CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Caribbean Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $60
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Caribbean Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.25x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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%)
Insurance Median: $60 (25%)
Ins. Median: $60 (25% 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
Menonita Ases $25 - $129 10%
Champva $29 - $168 12%
Humana $29 - $141 12%
Mcs Classicare $29 - $60 12%
Mcs Privado $29 - $60 12%
Medicare (plans) $29 - $168 12%
Mmm $29 - $141 12%
Tricare $29 - $168 12%
Tsa $29 - $168 12%
UnitedHealthcare $29 - $60 12%
Veteran Administration $29 - $116 12%
Well Care $29 - $168 12%
First Medical Ases $33 - $158 14%
Mmm Multi Health Ases $33 - $158 14%
Triples S Reforma $33 - $122 14%
Health First $34 14%
Mapfre $48 - $68 20%
Asociacion De Maestros Pr $60 - $120 25%
Hoffa $60 25%
Imc Privado $60 - $100 25%
Union Carpinteros $60 25%
Cfse $65 - $157 27%
Menonita Privado $70 - $139 29%
Comercial Others $75 31%
Panamerican Life Insurance $75 31%
Triple S Privado $78 - $157 32%
Acaa $140 57%
Auxilio Mutuo $157 64%
Auxilio Mutuo Plus $157 64%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals