CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Deaconess Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $567
Cash Discount Price: $886
vs. Medicare Baseline: 2.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Deaconess Medical Center is $567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $886. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.33x the Medicare baseline. Located in W 800 Fifth Avenue, Spokane, WA.

Cash / Self-Pay

$886

Average discount available for prompt cash payment at this facility.

Insurance Median

$567

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: $886 (363%)

Insurance Median: $567 (233%)

Cash: $886 (363% of Medicare)

Ins. Median: $567 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
Molina	$115 - $497	47%
Coordinated Care	$116	48%
Wellpoint	$116	48%
UnitedHealthcare	$118 - $734	48%
Community Health Plan Of Washington	$121 - $426	50%
Blue Cross Blue Shield	$253	104%
Aetna	$260 - $708	107%
Regence	$260	107%
Wellcare	$265	109%
Premera	$425 - $712	174%
Ambetter / Centene	$468	192%
Cigna	$567	233%
Pacificsource	$587 - $646	241%
Regence/Asuris	$596	244%
First Choice	$849 - $1,544	348%
Kaiser	$1,138	467%
First Health	$1,573	645%
Multiplan/Phcs	$1,617	663%

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 $886.
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 Deaconess Medical Center 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.