CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cedar City Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,367
  • Cash Discount Price: $1,139
  • vs. Medicare Baseline: 5.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cedar City Hospital is $1,367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,139. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.61x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$1,139

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,367

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: $1,139 (467%)
Insurance Median: $1,367 (561%)
Cash: $1,139 (467% of Medicare)
Ins. Median: $1,367 (561% 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 561% of the Medicare baseline (a markup of 461%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $32 - $1,462 13%
American Health $32 - $268 13%
Blue Cross Blue Shield $32 - $1,443 13%
Health Choice $32 - $1,352 13%
Health Partners Of Nevada $32 - $258 13%
Health Plan Of Nevada $32 - $1,352 13%
Healthy U $32 - $1,352 13%
Humana $32 - $271 13%
Molina $32 - $1,443 13%
Selecthealth $32 - $1,367 13%
Southwest Behavioral Health $32 - $223 13%
UnitedHealthcare $32 - $1,367 13%
Triwest $234 96%
Corporation Of The President $1,139 467%
Corvel Corporation $1,139 467%
Injury Care Of Nevada $1,139 467%
Wcf Insurance $1,139 467%
Byu Risk Management $1,291 530%
Awh Connected $1,367 - $1,382 561%
Byu Athletic Department $1,367 561%
Campbell Scientific $1,367 561%
Deseret Mutual $1,367 561%
Emi $1,367 561%
Emi Health $1,367 561%
Franklin County $1,367 561%
Global Excel $1,367 561%
Ifit $1,367 561%
Juniper Systems $1,367 561%
Lw Miller $1,367 561%
Managed Care Admin $1,367 561%
Medcare International $1,367 561%
Motivhealth $1,367 561%
Pehp $1,367 - $1,443 561%
Prodegi Corp Benefit $1,367 561%
Tanner Llc $1,367 561%
Uofu $1,367 - $1,443 561%
Utah Tech $1,367 561%
Wise Network $1,367 561%
Cigna $1,443 592%
Health Utah $1,443 592%
Hygeia Corporation $1,443 592%
Springtide $1,443 592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals