CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Tristar Stonecrest Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $469
Cash Discount Price: $1,810
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Tristar Stonecrest Medical Center is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,810. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.92x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.

Cash / Self-Pay

$1,810

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $1,810 (743%)

Insurance Median: $469 (192%)

Cash: $1,810 (743% of Medicare)

Ins. Median: $469 (192% 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.

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	$152 - $313	62%
Bright Health	$308 - $434	126%
Oscar	$331	136%
Kentucky Labor Cabinet	$333	137%
Apex Health	$344	141%
Nhc Advantage, Inc.	$344	141%
Pruitt Health (Allyalign)	$344	141%
Ambetter / Centene	$404 - $420	166%
Humana	$453	186%
Cigna	$486 - $590	199%
United	$655 - $815	269%
Aetna	$905 - $1,482	371%
Bgfh Singlesource	$905 - $1,539	371%
Employers Health Network	$1,267	520%
Odom'S Tn Pride Sausage	$1,358	557%
Multiplan	$1,629	668%
Beech Street	$1,665	683%

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 $1,810.
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 Tristar Stonecrest 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.