CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $403
  • Cash Discount Price: $1,145
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Prisma Health Greer Memorial Hospital is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,145. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$1,145

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $1,145 (470%)
Insurance Median: $403 (165%)
Cash: $1,145 (470% of Medicare)
Ins. Median: $403 (165% 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
Blue Choice Healthplan Of Sc $120 49%
Medicaid / KanCare $130 - $617 53%
Bluechoice Healthplan Of Sc $136 - $861 56%
Molina $138 - $232 57%
Select Health $138 - $228 57%
Humana $140 - $204 57%
Tricare $172 - $215 71%
Choicecare Network $176 - $1,497 72%
Medicare (plans) $211 - $528 87%
Veterans Administration $215 88%
Blue Cross Blue Shield $219 - $821 90%
Cigna $222 - $1,409 91%
Liberty Advantage $222 91%
UnitedHealthcare $222 - $1,087 91%
Absolute Total Care Prime $226 93%
Aetna $226 - $1,550 93%
Windsor Health Plan $226 93%
Wellpath Select Inc $236 - $295 97%
Sc Workers Compensation $241 - $301 99%
Celtic Insurance Company $376 154%
Prisma Health Seniorcare Pace-Upstate $424 174%
Value Options $880 361%
Promise Health Plan $1,057 434%
Preferred Care, Inc $1,233 506%
Chp Direct Supermed Network $1,268 520%
Medcost $1,303 535%
Atlantic Packaging $1,321 542%
Aps Healthcare Bethesda Inc $1,409 578%
Medcost Preferred $1,444 592%
Multiplan $1,567 643%
Companion Benefit Alternatives $1,761 722%
Miscellaneous $1,761 722%
Self Pay $1,761 722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1413 John B White Sr Blvd Suite D, Spartanburg, SC 29306
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals