CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Olympic Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $251
Cash Discount Price: $623
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Olympic Medical Center is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$623

Average discount available for prompt cash payment at this facility.

Insurance Median

$251

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: $623 (256%)

Insurance Median: $251 (103%)

Cash: $623 (256% of Medicare)

Ins. Median: $251 (103% 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
Community Health Plan Of Washington	$169 - $1,239	69%
Regence	$169 - $1,549	69%
Wellcare	$169	69%
Coordinated Care	$245	101%
Molina	$245 - $315	101%
Wellpoint (Formerly Amerigroup)	$257	105%
UnitedHealthcare	$268 - $1,549	110%
Regence Uniform	$866	355%
Ambetter / Centene	$1,394 - $1,472	572%
Cigna	$1,509	619%
Aetna	$1,549	635%
First Choice Network	$1,549	635%
Gmr/Caldera Care	$1,549	635%
Hma	$1,549	635%
Lifewise	$1,549	635%
Premera	$1,549	635%

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 $623.
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 Olympic 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.