CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $912
Cash Discount Price: $772
vs. Medicare Baseline: 3.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Holy Cross Hospital - Salt Lake is $912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.74x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$912

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: $772 (317%)

Insurance Median: $912 (374%)

Cash: $772 (317% of Medicare)

Ins. Median: $912 (374% 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 374% of the Medicare baseline (a markup of 274%). 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
Denver Health	$117	48%
Health Choice	$117	48%
Medicaid / KanCare	$117	48%
Rocky Mountain Health Plan	$117	48%
Uuhp	$117 - $419	48%
Humana	$135	55%
Medicare (plans)	$135	55%
Employer Direct Healthcare	$170	70%
Motivhealth	$179	73%
Cigna	$254 - $1,543	104%
Centura Employee Plan	$293	120%
Blue Cross Blue Shield	$309 - $1,157	127%
Molina	$317 - $828	130%
UnitedHealthcare	$397	163%
Pehp	$824 - $1,929	338%
Aetna	$852 - $1,630	350%
Wise	$1,003 - $1,022	411%
Deseret Mutual Benefit Administrators	$1,184	486%
Select Health	$1,277	524%
Multiplan	$1,331 - $1,755	546%
Emi Health	$1,929	791%

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 $772.
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 Holy Cross Hospital - Salt Lake 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.