CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lonesome Pine Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $244
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lonesome Pine Hospital is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1990 Holton Avenue East, Big Stone Gap, VA.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$244

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: $344 (141%)
Insurance Median: $244 (100%)
Cash: $344 (141% of Medicare)
Ins. Median: $244 (100% 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.

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
UnitedHealthcare $76 - $1,413 31%
Blue Cross Blue Shield $124 - $2,295 51%
Optima Health $217 89%
Aetna $218 - $980 89%
Molina Healthcare $221 - $244 91%
Amerigroup $233 96%
Humana $233 96%
Managed Medicaire $233 96%
Medicare (plans) $233 96%
Sentara Health $233 - $581 96%
United Mine Workers Of America $233 96%
Cigna $244 - $1,065 100%
Devoted Health Plan $244 100%
Mountain Empire Pace $244 100%
Nhc Advantage $244 100%
Wellcare $247 101%
Ambetter / Centene $508 208%
Seven Corners, Inc. $559 229%
Medcost $1,092 448%
First Health Coventry $2,066 848%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1990 Holton Avenue East, Big Stone Gap, VA 24219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals