CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Parkridge Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $519
Cash Discount Price: $1,401
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Parkridge Medical Center is $519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,401. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.13x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.

Cash / Self-Pay

$1,401

Average discount available for prompt cash payment at this facility.

Insurance Median

$519

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: $1,401 (575%)

Insurance Median: $519 (213%)

Cash: $1,401 (575% of Medicare)

Ins. Median: $519 (213% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$146 - $434	60%
Ambetter / Centene	$204 - $224	84%
Amerigroup	$213	87%
Bright Health	$238 - $336	98%
Kentucky Labor Cabinet	$258	106%
Apex Health	$266	109%
Nhc Advantage, Inc.	$266	109%
Pruitt Health (Allyalign)	$266	109%
Peach State	$280	115%
Wellcare	$280	115%
Humana	$350 - $910	144%
Cigna	$480 - $1,120	197%
United	$480 - $630	197%
Health One Alliance	$644 - $952	264%
Aetna	$700 - $1,482	287%
Value Option	$700	287%
Magellan Behavioral Health	$840	345%
Multiplan	$840	345%
North Ga Health Services	$910	373%
Employers Health Network	$980	402%
Olympus Managed Healthcare	$980	402%
Mhnet	$1,050	431%
Compsych	$1,120	459%
Beech Street	$1,232	505%
Prime Health	$1,232	505%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,401.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.