CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Multicare Covington Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $638
Cash Discount Price: $567
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Multicare Covington Medical Center is $638. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $567. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.62x the Medicare baseline. Located in 17700 Se 272Nd St, Covington, WA.

Cash / Self-Pay

$567

Average discount available for prompt cash payment at this facility.

Insurance Median

$638

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: $567 (233%)

Insurance Median: $638 (262%)

Cash: $567 (233% of Medicare)

Ins. Median: $638 (262% 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 262% of the Medicare baseline (a markup of 162%). 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	$117 - $488	48%
Community Health Plan Of Washington	$126 - $445	52%
Coordinated Care	$126	52%
UnitedHealthcare	$126 - $1,255	52%
Wellpoint	$126	52%
Aetna	$272 - $1,128	112%
Regence	$272	112%
Wellcare	$277	114%
Premera	$437 - $1,125	179%
Pacificsource	$496 - $716	203%
Ambetter / Centene	$527	216%
Cigna	$638	262%
First Choice	$815 - $1,482	334%
First Health	$1,034 - $1,293	424%
Multiplan/Phcs	$1,034 - $1,293	424%
Kaiser	$1,138	467%

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 $567.
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 Multicare Covington 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.