CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Wellmont Bristol Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $238
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Wellmont Bristol Regional Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in One Medical Park Blvd, Bristol, TN.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $344 (141%)
Insurance Median: $238 (98%)
Cash: $344 (141% of Medicare)
Ins. Median: $238 (98% 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
UnitedHealthcare $91 - $1,413 37%
Blue Cross Blue Shield $124 - $706 51%
Optima Health $213 87%
Aetna $215 - $980 88%
Molina Healthcare $217 - $238 89%
Humana $226 93%
Managed Medicaire $226 93%
Medicare (plans) $226 93%
Sentara Health $226 - $592 93%
United Mine Workers Of America $226 93%
Amerigroup $235 96%
Cigna $238 - $1,065 98%
Devoted Health Plan $238 98%
Mountain Empire Pace $238 98%
Nhc Advantage $238 98%
Wellcare $240 - $2,295 98%
Ambetter / Centene $493 202%
Seven Corners, Inc. $543 223%
Medcost $1,092 448%
First Health Coventry $1,767 725%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Medical Park Blvd, Bristol, TN 37620
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals