CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Children's Hosp of Los Angeles
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $189
- Cash Discount Price: $289
- vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Children's Hosp of Los Angeles is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.78x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$289
Average discount available for prompt cash payment at this facility.
Insurance Median
$189
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: $289 (119%)
Insurance Median: $189 (78%)
Cash: $289 (119% of Medicare)
Ins. Median: $189 (78% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Inland Empire Health Plan | $43 - $291 | 18% |
| Medi-Cal | $43 - $193 | 18% |
| Molina | $43 - $291 | 18% |
| Shriners Hospital | $86 - $87 | 35% |
| Medicaid / KanCare | $86 - $291 | 35% |
| Non-Contract Payors | $114 - $116 | 47% |
| Incentive Health Network | $114 - $116 | 47% |
| Beech Street | $114 - $116 | 47% |
| Health Net | $119 - $364 | 49% |
| Emanate Health Medical Center Mmc | $129 - $131 | 53% |
| Kaiser | $133 - $166 | 55% |
| Axminster Medical Group | $137 - $291 | 56% |
| Facey Medical Group | $137 - $291 | 56% |
| St. John's Health Clinic | $137 - $291 | 56% |
| Sansum Clinic | $143 - $146 | 59% |
| Pioneer Prov Ntwk | $143 - $146 | 59% |
| Gemcare IPA | $143 - $146 | 59% |
| Staywell Insurance | $143 - $146 | 59% |
| Managed Care Systems | $143 - $146 | 59% |
| UnitedHealthcare | $143 - $291 | 59% |
| Exceptional Care Medical Group | $143 - $291 | 59% |
| Altamed | $143 - $291 | 59% |
| Citrus Valley Phys Grp | $143 - $189 | 59% |
| La Care | $143 - $291 | 59% |
| Mercy Care | $143 - $146 | 59% |
| Accarent Health | $143 - $146 | 59% |
| Aetna | $148 - $160 | 61% |
| Book Md | $149 - $587 | 61% |
| Good Samaritan Medical Group | $152 - $154 | 62% |
| Applecare Medical Group | $152 - $291 | 62% |
| Blue Shield | $154 - $291 | 63% |
| Intl - Global Excel Management | $157 - $426 | 64% |
| Culinary Health Fund | $157 - $291 | 64% |
| Community Care | $157 - $160 | 64% |
| Intl - Global Medical Management | $157 - $160 | 64% |
| Health Care La IPA | $157 - $291 | 64% |
| Premier Physicians Ntwk | $157 - $291 | 64% |
| Intl - Quality Health Management | $157 - $291 | 64% |
| Global Care Medical Group | $157 - $291 | 64% |
| Bella Vista Med Grp | $157 - $291 | 64% |
| Choice Medical Group | $157 - $160 | 64% |
| Centinela Valley IPA | $157 - $291 | 64% |
| National Healthcare Solutions | $157 - $160 | 64% |
| Blue Cross Blue Shield | $167 - $385 | 69% |
| Seoul Medical Group | $169 - $172 | 69% |
| Access Medical Group | $169 - $172 | 69% |
| Emanate Health Medical Center Commercial | $172 - $175 | 71% |
| Allied Pacific IPA | $172 - $291 | 71% |
| Ventura County Health Plan | $172 - $175 | 71% |
| Delta Health Systems | $172 - $175 | 71% |
| Alhambra Hospital Medical Center | $172 - $291 | 71% |
| Providence Health Network | $172 - $175 | 71% |
| Los Angeles Medical Center IPA | $172 - $291 | 71% |
| Family Care Specialists | $172 - $291 | 71% |
| Bright Medical Associates | $172 - $175 | 71% |
| Self-Pay | $172 - $175 | 71% |
| Sanus Health | $172 - $175 | 71% |
| Heritage Provider Network | $172 - $291 | 71% |
| Private Hlthcare System | $172 - $175 | 71% |
| Preferred IPA - Commercial | $172 - $175 | 71% |
| Sierra Health and Life Insurance Company | $179 - $182 | 73% |
| Serra Community Med Clinic - Commercial | $186 - $189 | 76% |
| Intl - Aixin Life Insurance Co | $186 - $291 | 76% |
| Plotkin Health | $186 - $189 | 76% |
| Calvo Selectcare | $186 - $189 | 76% |
| Seaside Health Plan | $186 - $291 | 76% |
| Intl - Erv Travel Services | $186 - $204 | 76% |
| Marian Health Services | $186 - $189 | 76% |
| Intl - Concierge Healthcare Services | $186 - $189 | 76% |
| Intl - Msh China Enterprise Services | $186 - $189 | 76% |
| Prime Health Services | $186 - $189 | 76% |
| Lakewood Health Plan | $186 - $189 | 76% |
| Star Healthcare Network Commercial | $186 - $189 | 76% |
| Embassy - Saudi Arabia | $186 - $189 | 76% |
| Cedar Sinai Med Grp | $186 - $189 | 76% |
| Axis Services International | $186 - $189 | 76% |
| Redlands Community Hospital | $186 - $189 | 76% |
| Korean American Med Grp | $200 - $204 | 82% |
| Multiplan | $200 - $204 | 82% |
| Beaver Medical Group | $200 - $204 | 82% |
| Primecare Medical Network | $200 - $204 | 82% |
| Angeles IPA | $200 - $291 | 82% |
| Memorialcare Med Foundation | $200 - $204 | 82% |
| Medicare (plans) | $210 - $302 | 86% |
| Associated Hispanic Physicians IPA | $214 - $291 | 88% |
| Interlink Health Services | $214 - $218 | 88% |
| Prospect Medical Group | $214 - $218 | 88% |
| Embassy - Kuwait | $214 - $218 | 88% |
| Hispanic Physician IPA | $214 - $291 | 88% |
| Self-Pay International | $229 - $233 | 94% |
| Embassy - All Others | $229 - $233 | 94% |
| Caloptima | $236 - $291 | 97% |
| Valley Presbyterian Hospital | $241 - $291 | 99% |
| Choc Health Alliance | $286 - $291 | 117% |
| Watts Healthcare Mmc | $286 - $291 | 117% |
| Noble Community Medical Associates | $286 - $291 | 117% |
| Kern Family Health Plan | $286 - $291 | 117% |
| California Pacific Physicians Medical Group | $286 - $291 | 117% |
| Gold Coast Health Plan | $286 - $291 | 117% |
| Cigna | $286 - $291 | 117% |
| San Judas Med Grp | $286 - $291 | 117% |
| Family Health Alliance Med Grp | $286 - $291 | 117% |
| White Memorial Medical Center | $286 - $291 | 117% |
| Care 1St | $286 - $291 | 117% |
| Dignity Health | $286 - $291 | 117% |
| Cal Care IPA | $286 - $291 | 117% |
| Southern Atlantic Medical Group Mmc | $286 - $466 | 117% |
| Mabuhay Medical Group | $286 - $291 | 117% |
| Accountable Health | $286 - $291 | 117% |
| Employee Health Systems Med Grp | $286 - $291 | 117% |
| Asian Community Medical Group | $286 - $291 | 117% |
| Hollywood Presbyterian Medical Center | $286 - $291 | 117% |
| Crown City Medical Group | $286 - $291 | 117% |
| Cencal Health | $286 - $291 | 117% |
| Community Family Care IPA | $286 - $291 | 117% |
| Serra Community Med Clinic | $286 - $291 | 117% |
| Souther California Hosp System - Mmc | $286 - $291 | 117% |
| Serendib Healthways Mmc | $286 - $291 | 117% |
| St Francis Medical Center | $286 - $291 | 117% |
| Avalon IPA | $286 - $291 | 117% |
| Adventist Health Physicians | $286 - $552 | 117% |
| Southland San Gabriel Valley Medical Group | $286 - $291 | 117% |
| Healthy New Life Medical Corp | $286 - $291 | 117% |
| El Proyecto Del Barrio | $286 - $291 | 117% |
| Community Care IPA Mmc | $286 - $291 | 117% |
| Imperial Health Holdings Medical Group | $286 - $291 | 117% |
| Beverly Hospital | $286 - $291 | 117% |
| Point Comfort Underwriters | $286 - $291 | 117% |
| Superior Choice Medical Group | $286 - $291 | 117% |
| Regent Medical Group | $286 - $291 | 117% |
| Pacific Alliance Medical Center | $286 - $291 | 117% |
| Primary Care and Pediatric IPA | $286 - $291 | 117% |
| Karing Physicians Medical Group | $286 - $291 | 117% |
| Preferred IPA | $286 - $291 | 117% |
| Champus | $298 | 122% |