CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $244
Cash Discount Price: $1,932
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Univ. of Vermont - Fletcher Allen Health Care is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,932. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$1,932

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: $1,932 (793%)

Insurance Median: $244 (100%)

Cash: $1,932 (793% 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.

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
UnitedHealthcare	$21 - $1,902	9%
Blue Cross Blue Shield	$26 - $1,817	11%
Mvp	$26 - $1,163	11%
Aetna	$30 - $244	12%
Capital District Physicians' Health Plan	$30 - $1,447	12%
Humana	$30 - $541	12%
Martins Point	$30 - $250	12%
St. Regis	$30 - $244	12%
Veterans Affairs Community Care Network	$30 - $244	12%
Fidelis Care	$35 - $268	14%
Wellpath	$42 - $1,063	17%
Ebpa	$102 - $1,662	42%
Harvard Pilgrim	$106 - $1,546	43%
Magnacare	$106 - $1,546	43%
Coventry	$113 - $1,642	46%
Cigna	$118 - $1,884	48%
Nppn	$120 - $1,739	49%

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 $1,932.
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 Univ. of Vermont - Fletcher Allen Health Care 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.