CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Holy Cross Hospital-Davis

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $982
  • Cash Discount Price: $772
  • vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Holy Cross Hospital-Davis is $982. 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 4.03x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.
Cash / Self-Pay
$772

Average discount available for prompt cash payment at this facility.

Insurance Median
$982

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: $982 (403%)
Cash: $772 (317% of Medicare)
Ins. Median: $982 (403% 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 403% of the Medicare baseline (a markup of 303%). 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
Select Health $50 - $948 21%
Medicaid / KanCare $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%
Pehp $824 - $1,119 338%
Aetna $852 - $1,630 350%
Wise $1,003 - $1,022 411%
Deseret Mutual Benefit Administrators $1,184 486%
Multiplan $1,331 - $1,755 546%
UnitedHealthcare $1,398 - $1,929 573%
Emi Health $1,678 688%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 West Antelope Drive, Layton, UT 84041
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals