CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Charleston Area Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $375
  • Cash Discount Price: $1,703
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Charleston Area Medical Center is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,703. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$1,703

Average discount available for prompt cash payment at this facility.

Insurance Median
$375

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: $1,703 (699%)
Insurance Median: $375 (154%)
Cash: $1,703 (699% of Medicare)
Ins. Median: $375 (154% 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.

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
Triwest Va $81 - $236 33%
Aetna $84 - $2,474 34%
Blue Cross Blue Shield $84 - $2,302 34%
Choicecare Network $84 - $2,474 34%
The Health Plan Of West Virginia Inc. $84 - $2,448 34%
Unicare Health Plan Of West Virginia Inc. $84 - $126 34%
UnitedHealthcare $86 - $2,474 35%
West Virginia Senior Advantage Inc. $88 - $256 36%
City Of Charleston $109 - $1,893 45%
Naphcare $114 - $488 47%
Integrated Medical Solutions $121 - $475 50%
Caresource $125 - $609 51%
Optimum Choice Inc. $134 - $244 55%
Tricare $200 - $1,514 82%
Three Rivers Providers Network $324 - $2,448 133%
Healthsmart $327 - $2,474 134%
Multiplan $327 - $2,474 134%
Cigna $331 - $2,347 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals