Ultrasound, leg veins (duplex)
Facility: Watsonville Community Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $2,612
- Cash Discount Price: $2,855
- vs. Medicare Baseline: 10.72x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1072% of the Medicare baseline (a markup of 972%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Well Path | $121 - $6,505 | 50% |
| Ccs/Monterey County | $121 - $213 | 50% |
| Healthy Families | $121 - $213 | 50% |
| Medi-Cal E.R. | $121 - $213 | 50% |
| Medicaid / KanCare | $121 - $213 | 50% |
| California Childrens Srvs | $121 - $213 | 50% |
| Medi-Cal/Eds | $121 - $213 | 50% |
| Alliance/Sccho | $252 - $416 | 103% |
| Cigna | $445 - $4,553 | 183% |
| UnitedHealthcare | $445 - $3,100 | 183% |
| Health Net Pmg HMO | $445 - $4,079 | 183% |
| Secure Horizons Dign HMO | $445 - $1,301 | 183% |
| Blue Shield HMO | $445 - $1,301 | 183% |
| Aetna | $445 - $4,500 | 183% |
| Great-West/Phcs | $445 - $4,553 | 183% |
| Pacificare HMO | $445 - $3,100 | 183% |
| Blue Cross Blue Shield | $445 - $5,795 | 183% |
| Medicruz | $542 - $1,171 | 222% |
| Victim Compensation Plan | $542 - $6,505 | 222% |
| Sheet Metal Workers | $850 - $5,795 | 349% |
| Pinnacle Claims Tpa/Bc | $850 - $5,795 | 349% |
| Teamsters Benefit Trust | $850 - $5,795 | 349% |
| Robert Kennedy/Ccn | $850 - $5,795 | 349% |
| Delta Health Systems | $850 - $5,795 | 349% |
| Western Growers Trust/Bc | $850 - $5,795 | 349% |
| Laborers Health & Welfare | $850 - $5,795 | 349% |
| Carpenters H&W Trust | $850 - $5,795 | 349% |
| State Compensation Fund | $850 - $5,795 | 349% |
| City of Wats/Pinnacle Clm | $850 - $5,795 | 349% |
| Monterey Bay Pub Emp Trst | $850 - $5,795 | 349% |
| Calif Ironworkers Field | $850 - $5,795 | 349% |
| Claims Management Wc | $850 - $5,795 | 349% |
| Operating Engineers | $850 - $5,795 | 349% |
| Western Health Advantage | $1,506 - $3,252 | 618% |
| Pacificare PPO | $1,525 - $3,100 | 626% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 626% |
| Self Pay | $1,807 - $3,903 | 741% |
| Health Net of California | $1,889 - $4,079 | 775% |
| Health Net Blue and Gold | $1,889 - $4,079 | 775% |
| Health Net Canopycare HMO | $1,889 - $4,079 | 775% |
| First Health | $2,108 - $5,204 | 865% |
| Geha (Ccn) | $2,108 - $5,204 | 865% |
| Adventist Risk Management | $2,108 - $5,204 | 865% |
| Transwestern | $2,108 - $5,204 | 865% |
| Private Healthcare System | $2,349 - $5,074 | 964% |
| Multiplan Inc PPO | $2,349 - $5,074 | 964% |
| Salinas Valley Mem Hops | $2,560 - $5,529 | 1050% |
| Coastal Healthcare Admin | $2,560 - $5,854 | 1050% |
| Apwu Health Plan | $3,012 - $6,505 | 1236% |
| Prucare Pmg POS | $3,012 - $6,505 | 1236% |
| North Calif Bakery Driver | $3,012 - $6,505 | 1236% |
| Miscellaneous Auto | $3,012 - $6,505 | 1236% |
| Aarp | $3,012 - $6,505 | 1236% |
| Zenith National Ins | $3,012 - $6,505 | 1236% |
| Physicians Mutual | $3,012 - $6,505 | 1236% |
| United Administrative | $3,012 - $6,505 | 1236% |
| Prucare Pmg HMO | $3,012 - $6,505 | 1236% |
| Aaa | $3,012 - $6,505 | 1236% |
| Allstate | $3,012 - $6,505 | 1236% |
| Travelers Insurance | $3,012 - $6,505 | 1236% |
| Farmers Insurance | $3,012 - $6,505 | 1236% |
| Humana | $3,012 - $6,505 | 1236% |
| Miscellaneous Insurance | $3,012 - $6,505 | 1236% |
| Wholesale Beer Distributo | $3,012 - $6,505 | 1236% |
| Sutter Health Plus | $3,012 - $6,505 | 1236% |
| State Farm Ins | $3,012 - $6,505 | 1236% |
| Bankers Life & Casualty | $3,012 - $6,505 | 1236% |