CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Grand Strand Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,496
Cash Discount Price: $5,547
vs. Medicare Baseline: 10.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Grand Strand Regional Medical Center is $2,496. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,547. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.24x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$5,547

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,496

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: $5,547 (2276%)

Insurance Median: $2,496 (1024%)

Cash: $5,547 (2276% of Medicare)

Ins. Median: $2,496 (1024% 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 1024% of the Medicare baseline (a markup of 924%). 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
Group Health	$194	80%
Sc State Employees	$274	112%
Blue Choice Health Plan	$385	158%
Blue Cross Blue Shield	$385 - $5,270	158%
Absolute Total Care	$810 - $998	332%
Cigna	$876 - $1,792	359%
Molina	$998	409%
Nhc Advantage	$1,054	432%
Pruitt Health	$1,054	432%
United	$2,363 - $2,496	969%
Select Health	$2,385	978%
Occunet	$2,774	1138%
Medcost	$2,779 - $3,789	1140%
Vocational Rehab	$2,995	1229%
Employers Health Network	$3,051	1252%
Evernorth	$4,438	1821%
First Health	$4,576	1877%
Global Excel Management	$4,604	1889%
Humana	$4,715	1934%
Multiplan	$4,715	1934%
National Choicecare	$4,715	1934%
Prime Health	$4,715	1934%
Novanet	$4,992	2048%

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 $5,547.
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 Grand Strand Regional 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.