CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Trident Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,969
Cash Discount Price: $4,134
vs. Medicare Baseline: 8.08x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Trident Medical Center is $1,969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,134. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.08x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$4,134

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,969

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: $4,134 (1696%)

Insurance Median: $1,969 (808%)

Cash: $4,134 (1696% of Medicare)

Ins. Median: $1,969 (808% 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 808% of the Medicare baseline (a markup of 708%). 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	$274	112%
Blue Choice Health Plan	$395	162%
Blue Cross Blue Shield	$395 - $4,157	162%
Absolute Total Care	$568 - $788	233%
Molina	$701 - $788	288%
Nhc Advantage	$739 - $831	303%
Pruitt Health	$739 - $831	303%
Medcost	$1,487 - $2,459	610%
United	$1,557 - $1,969	639%
Select Health	$1,674 - $1,882	687%
Employers Health Network	$1,751 - $1,969	718%
Occunet	$1,946 - $2,188	798%
Vocational Rehab	$2,102 - $2,363	862%
Humana	$2,530 - $3,282	1038%
First Health	$2,841 - $3,194	1165%
Mhnet	$2,919 - $3,282	1197%
Evernorth	$3,114 - $3,501	1277%
Multiplan	$3,308 - $3,720	1357%
Prime Health	$3,308 - $3,720	1357%
Novanet	$3,503 - $3,938	1437%

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 $4,134.
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 Trident 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.