CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lee County Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $339
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lee County Community Hospital is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.39x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$339

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: $338 (139%)
Insurance Median: $339 (139%)
Cash: $338 (139% of Medicare)
Ins. Median: $339 (139% 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
Blue Cross Blue Shield $124 - $1,469 51%
UnitedHealthcare $137 - $1,469 56%
Optima Health $300 123%
Aetna $312 - $1,469 128%
Molina Healthcare $312 - $336 128%
Ambetter / Centene $323 133%
Amerigroup $323 - $1,469 133%
Managed Medicaire $323 133%
Medicare (plans) $323 133%
Mountain Empire Pace $323 133%
Sentara Health $323 - $379 133%
United Mine Workers Of America $323 133%
Humana $328 135%
Cigna $339 - $1,469 139%
Devoted Health Plan $339 139%
Nhc Advantage $339 139%
Seven Corners, Inc. $776 318%
First Health Coventry $1,469 603%
Medcost $1,469 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals