CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Bertrand Chaffee Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $240
Cash Discount Price: $296
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Bertrand Chaffee Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$296

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $296 (121%)

Insurance Median: $240 (98%)

Cash: $296 (121% of Medicare)

Ins. Median: $240 (98% 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
Molina Heathcare of Wny	$109	45%
Community Care - Bc	$109	45%
United Hc - Community Pln	$109	45%
Medicaid / KanCare	$109	45%
Ghi Medical	$109	45%
Univera Hc Myhealth+	$109 - $155	45%
Comm Blue Essential	$109	45%
Seneca Nation Health Dept	$109	45%
Gowanda Correctional Fac	$109	45%
United Hc Essential Plan	$109	45%
Community Blue	$109	45%
Fidelis Care of New York	$109	45%
Univera Hc Myhealth	$109	45%
Molina Essential Plan	$109	45%
Yourcare	$109	45%
Univera Essential Plans	$155	64%
Univera Plus Med	$155	64%
Univera Hc Child Health+	$155	64%
Blue Cross Blue Shield	$159 - $182	65%
Senior Blue - Bc	$159	65%
Iha Medisource	$179 - $183	73%
Iha Essential Plans	$179 - $183	73%
Univera Senior Choice	$194	80%
Private Pay	$204 - $341	84%
Univera Healthcare	$219	90%
No Amer Meritian Health	$240 - $401	98%
American Progressive Ins.	$240 - $401	98%
Guardian Life Ins. Co.	$240 - $401	98%
Cigna	$240 - $401	98%
Mvp Commercial	$240 - $401	98%
No-Fault	$240 - $401	98%
Commercial / Misc	$240 - $401	98%
Global Excel Mgt	$240 - $401	98%
Aetna	$240 - $401	98%
Fidelis Essential Plans	$245	101%
Iha Encompass 65	$254	104%
Iha	$287	118%
Iha Custom Coverage	$287	118%

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 $296.
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 Bertrand Chaffee Hospital 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.