CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Colleton Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,233
Cash Discount Price: $2,499
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Colleton Medical Center is $1,233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,499. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.06x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$2,499

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,233

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: $2,499 (1025%)

Insurance Median: $1,233 (506%)

Cash: $2,499 (1025% of Medicare)

Ins. Median: $1,233 (506% 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 506% of the Medicare baseline (a markup of 406%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Sc State Employees	$273 - $274	112%
Absolute Total Care	$379 - $467	155%
Molina	$467	192%
Nhc Advantage	$493	202%
Pruitt Health	$493	202%
Blue Choice Health Plan	$512 - $535	210%
Blue Cross Blue Shield	$512 - $2,465	210%
Select Health	$1,116	458%
Employers Health Network	$1,168	479%
United	$1,168 - $1,378	479%
Value Option	$1,298	532%
Vocational Rehab	$1,401	575%
Medcost	$1,464 - $1,894	601%
Cigna	$1,676	688%
Humana	$1,687 - $2,336	692%
Mhnet	$1,946	798%
Evernorth	$2,076	852%
Multiplan	$2,206	905%
North American Administrators	$2,206	905%
Prime Health	$2,206	905%
First Health	$2,336	958%
Novanet	$2,336	958%

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 $2,499.
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 Colleton Medical Center 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.