CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lewisgale Hospital Pulaski

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,886
Cash Discount Price: $3,927
vs. Medicare Baseline: 11.84x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lewisgale Hospital Pulaski is $2,886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,927. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.84x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$3,927

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,886

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: $3,927 (1611%)

Insurance Median: $2,886 (1184%)

Cash: $3,927 (1611% of Medicare)

Ins. Median: $2,886 (1184% 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 1184% of the Medicare baseline (a markup of 1084%). 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
Lifeworks	$746	306%
Universal Healthcare Group	$864	354%
United	$1,312 - $1,767	538%
Virginia Health Network	$1,374 - $2,788	564%
Aetna	$1,414 - $1,767	580%
Cigna	$1,630	669%
Greenvbrier Sporting Club	$2,356	966%
Corvel	$2,827	1160%
Richfield Nursing Center	$2,945	1208%
Richfield Retirement Community	$2,945	1208%
Multiplan	$3,024	1241%
Community Care Network	$3,142	1289%
Graham-White Manufacturing	$3,142	1289%
Occunet Workers Comp	$3,142	1289%
One Health Plan	$3,142	1289%
Patients Choice	$3,456	1418%
4Most	$3,534	1450%
American Postal Workers Union	$3,534	1450%
Phcs	$3,534	1450%
Star Transportation	$3,534	1450%

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 $3,927.
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 Lewisgale Hospital Pulaski 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.