CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Island Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $364
Cash Discount Price: $722
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Island Hospital is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $722. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.49x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$722

Average discount available for prompt cash payment at this facility.

Insurance Median

$364

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: $722 (296%)

Insurance Median: $364 (149%)

Cash: $722 (296% of Medicare)

Ins. Median: $364 (149% 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
Molina Mcaid - All Plans	$113 - $155	46%
Coordinated Care Mcaid - All Plans	$130	53%
Chpw Mcaid - All Plans	$135 - $171	55%
Kaiser Mcr Adv	$160 - $360	66%
UnitedHealthcare	$160 - $850	66%
Amerigroup Mcaid - All Plans	$163 - $368	67%
Aetna	$168 - $950	69%
Premera Mcr Adv	$168 - $378	69%
Regence Comm - All Other Plans	$333 - $750	137%
Cigna	$355 - $800	146%
Humana	$360 - $850	148%
Samish Indian Health - All Plans	$360	148%
Tricare	$360	148%
First Choice - All Plans	$377	155%
First Health - All Plans	$377 - $850	155%
Multiplan - All Plans	$377 - $850	155%
Regence Mcr Adv	$382	157%

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 $722.
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 Island Hospital 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.