CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Fort Loudoun Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $232
  • Cash Discount Price: $242
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Fort Loudoun Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.95x the Medicare baseline. Located in 550 Fort Loudon Medical Center Dr, Lenoir City, TN.
Cash / Self-Pay
$242

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $242 (99%)
Insurance Median: $232 (95%)
Cash: $242 (99% of Medicare)
Ins. Median: $232 (95% 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 $113 - $496 46%
Blue Cross Blue Shield $169 - $232 69%
Wellpoint $212 - $232 87%
Farm Bureau $214 88%
Tricare $221 91%
Humana $227 93%
Aetna $232 - $262 95%
Cigna $232 - $340 95%
Devoted Health $232 95%
Wellcare $232 95%
Ehn $340 139%
Ambetter / Centene $454 186%
Correctional Medical Services $454 186%
Community Services Network $491 201%
Usa Managed Care Organization $529 217%
Novanet $567 233%
Direct Care America $605 248%
Medsave Usa $605 248%
National Provider Network $605 248%
Beech Street $643 264%
Ccn Managed Care $643 264%
Initial Group $665 273%
Galaxy Health Network $680 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 Fort Loudon Medical Center Dr, Lenoir City, TN 37772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals