CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $254
Cash Discount Price: $2,835
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Camc Greenbrier Valley Medical Center, Inc is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,835. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$2,835

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $2,835 (1163%)

Insurance Median: $254 (104%)

Cash: $2,835 (1163% of Medicare)

Ins. Median: $254 (104% 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
Blue Cross Blue Shield	$104 - $2,623	43%
Sentra Health	$104 - $567	43%
The Health Plan	$104 - $2,552	43%
Unicare	$104 - $109	43%
Aetna	$109 - $2,778	45%
Caresource	$109 - $2,268	45%
Clear Spring Health	$242	99%
Humana	$242 - $2,552	99%
UnitedHealthcare	$242 - $2,268	99%
Ally Align	$254	104%
Integrated Medical Solutions	$459	188%
Naphcare	$483	198%
Greenbrier Resort	$1,984	814%
Healthsmart	$1,984	814%
Multiplan	$2,240 - $2,466	919%
Fedmed	$2,552	1047%

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 $2,835.
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 Camc Greenbrier Valley Medical Center, Inc 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.