Ultrasound, leg veins (duplex)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,281
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.25x 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 525% of the Medicare baseline (a markup of 425%). 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 |
|---|---|---|
| Americhoice | $184 - $338 | 75% |
| UnitedHealthcare | $184 - $1,858 | 75% |
| Wellcare | $197 - $361 | 81% |
| Horizon | $198 - $1,832 | 81% |
| Self Pay | $213 - $393 | 87% |
| Tricare | $242 | 99% |
| Devoted Health Plan | $276 | 113% |
| Amerigroup | $370 - $680 | 152% |
| Global Exchange Managed Care | $403 | 165% |
| Health Partners Plan | $537 | 220% |
| Magnacare | $569 - $2,355 | 233% |
| Cigna | $597 - $1,319 | 245% |
| Qualcare Commercial | $712 - $1,308 | 292% |
| Evernorth | $712 - $1,308 | 292% |
| Great West Life | $717 - $1,319 | 294% |
| Amerihealth | $915 - $2,200 | 375% |
| Active Care Plus | $925 - $1,701 | 379% |
| Mutual of Omaha | $925 - $1,701 | 379% |
| First McO | $925 - $1,701 | 379% |
| Qualcare Wc | $925 - $1,701 | 379% |
| Consumer Health Network (Chn) | $996 - $2,355 | 409% |
| Donio Trucking | $996 - $1,832 | 409% |
| Aetna | $996 - $3,650 | 409% |
| Devon/ Ullicare | $1,067 - $1,963 | 438% |
| Oxford | $1,067 - $1,963 | 438% |
| Coventry Health Care | $1,138 - $2,094 | 467% |
| Private Healthcare System (PHCS) | $1,138 - $2,094 | 467% |
| Blue Cross Blue Shield | $1,171 - $2,153 | 480% |
| Health Payors Org | $1,210 - $2,224 | 496% |
| Health South | $1,210 - $2,224 | 496% |
| Three Rivers Provider Network (Trpn) | $1,210 - $2,224 | 496% |
| Prime Health Services | $1,210 - $2,224 | 496% |
| Metrahealth of Nj | $1,210 - $2,224 | 496% |
| Health Network Inc | $1,281 - $2,355 | 525% |
| Beech Street | $1,281 - $2,355 | 525% |
| McS Commercial | $1,281 - $2,355 | 525% |
| Galaxy Health Network | $1,281 - $2,355 | 525% |
| Multiplan | $1,281 - $2,355 | 525% |
| Department of Corrections | $1,281 - $2,355 | 525% |
| Intergroup Preferred Program | $1,281 - $2,355 | 525% |
| Provider Select, Inc | $1,281 - $2,355 | 525% |
| Metracomp | $1,281 - $2,355 | 525% |
| Choice Care | $1,281 - $2,355 | 525% |
| Active Care Nj Pip | $1,281 - $2,355 | 525% |
| Master Care Inc | $1,316 - $2,421 | 540% |
| Atlantis Health Plan | $1,316 - $2,421 | 540% |
| Advance Healthcare System | $1,352 - $2,486 | 555% |
| McSi/Mrsi Worker's Comp | $1,352 - $2,486 | 555% |
| Community Care Network | $1,352 - $2,486 | 555% |
| Health Network America | $1,352 - $2,486 | 555% |
| McSi/Mrsi No Fault | $1,352 - $2,486 | 555% |
| National Health Plan | $1,352 - $2,486 | 555% |