CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University Health System, Inc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $234
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University Health System, Inc is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $226 (93%)
Insurance Median: $234 (96%)
Cash: $226 (93% of Medicare)
Ins. Median: $234 (96% 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
Aetna $30 - $632 12%
Cigna $30 - $686 12%
UnitedHealthcare $30 - $632 12%
Wellcare $30 12%
American Health $31 - $234 13%
Blue Cross Blue Shield $31 - $578 13%
Choicecare $31 - $53 13%
Humana $31 - $221 13%
Nhc $31 - $234 13%
Wellpoint $33 - $234 14%
Bluecare $34 - $38 14%
Tenncare $38 16%
Coventry $43 - $632 18%
Multiplan $43 - $542 18%
First Health $54 22%
Initial Group $56 23%
Novanet $58 24%
Beechstreet $59 - $678 24%
Devoted Health $230 94%
Wellcare-Windsor Medadv $232 95%
Medicare (plans) $234 - $236 96%
Fentress County Sheriffs Dept $361 148%
Nx Health $542 222%
Phcs $542 222%
Naphcare $587 241%
Prime Health $678 - $904 278%
Seven Corners $678 278%
Usa $723 297%
Evolutions $813 334%
Galaxy $813 334%
Healthsmart $813 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals