CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lewisgale Hospital Alleghany

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,477
Cash Discount Price: $3,489
vs. Medicare Baseline: 10.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lewisgale Hospital Alleghany is $2,477. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,489. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.16x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$3,489

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,477

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: $3,489 (1431%)

Insurance Median: $2,477 (1016%)

Cash: $3,489 (1431% of Medicare)

Ins. Median: $2,477 (1016% 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 1016% of the Medicare baseline (a markup of 916%). 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	$663	272%
Universal Healthcare Group	$768	315%
Virginia Health Network	$1,221 - $2,477	501%
Aetna	$1,256 - $1,884	515%
Greenbrier Sporting Club	$1,265	519%
United	$1,326 - $1,570	544%
Greenvbrier Sporting Club	$2,093	859%
Cigna	$2,160	886%
Corvel	$2,512	1030%
Csx Hotels	$2,791	1145%
Occunet Workers Comp	$2,791	1145%
Health Payors Organization	$2,966	1217%
4Most	$3,140	1288%
Alleghany Highland Community	$3,140	1288%
American Postal Workers Union	$3,140	1288%
C&O Employees Hospital Assn	$3,140	1288%
Community Care Network	$3,140	1288%
Multiplan	$3,140	1288%
One Health Plan	$3,140	1288%

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 $3,489.
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 Alleghany 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.