CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lincoln Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $941
Cash Discount Price: $1,061
vs. Medicare Baseline: 3.86x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lincoln Hospital is $941. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,061. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.86x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$1,061

Average discount available for prompt cash payment at this facility.

Insurance Median

$941

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: $1,061 (435%)

Insurance Median: $941 (386%)

Cash: $1,061 (435% of Medicare)

Ins. Median: $941 (386% 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 386% of the Medicare baseline (a markup of 286%). 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
Labor & Industries - All Plans	$57	23%
Ambetter / Centene	$552	226%
Molina Hlthy Options	$552	226%
UnitedHealthcare	$552 - $1,038	226%
Amerigroup Mcaid - All Plans	$585	240%
Aetna	$660 - $1,120	271%
Indian Hlth Services - All Plans	$660	271%
Tricare	$660	271%
Va Ccn - All Plans	$660	271%
Cigna	$900	369%
Molina Exchange-All Other Plans	$938	385%
Focus Healthcare Mgmt - All Plans	$943	387%
Blue Cross Blue Shield	$1,038	426%
Uniform Medical Plan-All Plans	$1,038	426%
First Health Coventry-All Plans	$1,050	431%
Health Management Network-All Plans	$1,061	435%
Three Rivers-All Plans	$1,061	435%
Asuris Nw Health-All Plans	$1,085	445%
Multiplan-All Plans	$1,120	459%
Physician Hosp Comm Org-All Plans	$1,120	459%
First Choice Health- All Plans	$1,144	469%

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 $1,061.
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 Lincoln 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.