CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Metro Nashville General Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $30
  • Cash Discount Price: $880
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Metro Nashville General Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $880. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.12x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.
Cash / Self-Pay
$880

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $880 (361%)
Insurance Median: $30 (12%)
Cash: $880 (361% of Medicare)
Ins. Median: $30 (12% 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
Corizon $20 8%
Amerigroup $26 11%
Amerivantage $26 11%
Aetna $30 - $806 12%
Blue $30 12%
Cigna $30 - $34 12%
Humana $30 12%
Medicare (plans) $30 12%
UnitedHealthcare $30 12%
Upmc $30 12%
Wellcare $30 12%
Farm Bureau $31 13%
Corecivic $33 14%
Ambetter / Centene $42 17%
Naphcare $45 18%
Provider Network Of America $51 21%
Bluecare $90 37%
Tenncare $90 37%
Blue Cross Blue Shield $180 - $238 74%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals