CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Blount Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $485
Cash Discount Price: $390
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Blount Memorial Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.99x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$390

Average discount available for prompt cash payment at this facility.

Insurance Median

$485

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: $390 (160%)

Insurance Median: $485 (199%)

Cash: $390 (160% of Medicare)

Ins. Median: $485 (199% 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.

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
UnitedHealthcare	$76 - $485	31%
Medicaid / KanCare	$144 - $197	59%
Blue Cross Blue Shield	$224 - $583	92%
Humana	$224	92%
Medicare (plans)	$224 - $233	92%
Tricare	$225	92%
Cigna	$233 - $692	96%
Prisma Health Seniorcare Pace - Midlands [5400]	$292	120%
Prisma Health Seniorcare Pace-Upstate [5200]	$292	120%
Mvp Health Care [3037]	$341	140%
Ambetter / Centene	$351	144%
Promise Health Plan Contracted [2401]	$441 - $755	181%
Golden Rule Insurance Company [2991]	$485	199%
Oxford Health Plans [2992]	$485	199%
Consociate Health Contracted [4835]	$498	204%
Orangeburg Senior Helping Center Pace [5401]	$504	207%
Fairos/Occunet Contracted [4837]	$521	214%
Bob Jones Univ-Pai [821]	$601	247%
Preferred Administrators Contracted [2839]	$881	361%
Medcost [2940]	$932 - $1,045	382%
Atlantic Packaging Contracted [4833]	$944	387%
Aps Healthcare System [2981]	$1,007	413%
Multiplan/Phcs Contracted [2950]	$1,121	460%
Aetna	$1,133	465%
Meritain Health Contracted [2200]	$1,133	465%
Nippon [2300]	$1,133	465%
Vsp Vision Care [2986]	$1,133	465%
First Health Contracted [2952]	$1,171	480%
Furman Int/Allen University Student [2951]	$1,171	480%
Quiktrip-First Health [3067]	$1,171	480%

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 $390.
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 Blount Memorial Hospital 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.