CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Physicians Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $320
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Physicians Regional Medical Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.31x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $441 (181%)
Insurance Median: $320 (131%)
Cash: $441 (181% of Medicare)
Ins. Median: $320 (131% 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
Medicaid / KanCare $90 37%
UnitedHealthcare $90 - $2,233 37%
Blue Cross Blue Shield $141 - $480 58%
Amerigroup $170 - $224 70%
Amerigroup Community Care $170 70%
Tricare $206 85%
Humana $213 87%
Medicare (plans) $213 87%
Node Bluecare Plus Tn Mcr Adv $213 - $216 87%
Department Of Veterans Affairs $216 89%
Node Hospice Non Par Agree $216 89%
Node Va $216 89%
Veterans Eval Services $216 89%
Node Devoted Health Mcr Adv $217 89%
Node Farm Bureau Mcr Adv $217 89%
Aetna $219 - $978 90%
Node Healthspring Mcr Adv $219 90%
Wellcare $225 92%
Node Nhc Mcr Adv $234 96%
Node Us Dept Of Labor $271 111%
Us Department Of Labor $271 111%
Novanet Work Comp Tn $359 147%
Occunet Work Comp Tn $363 149%
Tn Work Comp $363 149%
Self Pay $380 - $506 156%
Ambetter / Centene $400 164%
Node Point Comfort Underwriters $400 164%
Cigna $499 - $508 205%
Multiplan $942 - $1,585 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals