Ultrasound, leg veins (duplex)
Facility: Ohio Valley Surgical Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $4,022
- Cash Discount Price: $748
- vs. Medicare Baseline: 16.50x 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 1650% of the Medicare baseline (a markup of 1550%). 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 |
|---|---|---|
| Molina McR McD | $230 - $11,885 | 94% |
| Wellcare By Allwell | $230 - $11,885 | 94% |
| Bankers Fidelity | $230 - $11,885 | 94% |
| Patient No Pay | $230 - $11,885 | 94% |
| Humana | $230 - $11,919 | 94% |
| Aetna | $230 - $20,896 | 94% |
| Gateway Health Plan | $230 - $11,885 | 94% |
| Medicare (plans) | $230 - $12,264 | 94% |
| Prosperity Supplement | $230 - $11,885 | 94% |
| American Continental Insurance | $230 - $11,885 | 94% |
| Everest | $230 - $11,885 | 94% |
| Medigold | $230 - $11,885 | 94% |
| Central States | $230 - $11,885 | 94% |
| Molina Dual McR | $230 - $11,885 | 94% |
| Blue Cross Blue Shield | $230 - $40,293 | 94% |
| Aarp | $230 - $11,885 | 94% |
| Aarp Supplemental | $230 - $11,885 | 94% |
| Champus | $230 - $11,885 | 94% |
| Molina Dual McR | $230 - $11,885 | 94% |
| Bankers Life and Casualty | $230 - $11,885 | 94% |
| Mmoh | $230 - $11,885 | 94% |
| UnitedHealthcare | $230 - $17,571 | 94% |
| American Republic | $230 - $11,885 | 94% |
| Molina | $230 - $11,885 | 94% |
| Aultcare Primetime Health Plan | $230 - $11,885 | 94% |
| American Retirement | $230 - $11,885 | 94% |
| Molina McR | $230 - $11,885 | 94% |
| American Continental Life | $230 - $11,885 | 94% |
| Communicare Advantage | $230 - $11,885 | 94% |
| Molina McR+McD | $230 - $11,885 | 94% |
| Cigna | $230 - $18,817 | 94% |
| Wraparound Pl Supp | $230 - $11,885 | 94% |
| Molina Marketplace | $230 - $11,885 | 94% |
| The Health Plan | $242 - $12,479 | 99% |
| Devoted Health | $263 - $13,707 | 108% |
| Employer Direct | $265 - $15,703 | 109% |
| Medicaid / KanCare | $346 - $17,827 | 142% |
| Caresourse | $346 - $17,827 | 142% |
| Caresource | $346 - $17,827 | 142% |
| Sbma | $366 - $18,817 | 150% |
| Samba | $366 - $18,817 | 150% |
| Nalc | $366 - $18,817 | 150% |
| Unified Group | $366 - $18,817 | 150% |
| Healthgram | $366 - $18,817 | 150% |
| Self Pay Imaging | $495 - $11,885 | 203% |
| Mmoh (Supermed) | $573 - $579 | 235% |
| Mmo Cin. HMO | $573 - $785 | 235% |
| Geha | $670 - $20,896 | 275% |
| Meritain | $670 - $20,896 | 275% |
| Ngs Coresource | $670 - $20,896 | 275% |
| Nippon Life | $670 - $20,896 | 275% |
| Pacific Source | $670 - $20,896 | 275% |
| Personify Health | $670 - $20,896 | 275% |
| Mail Handlers | $670 - $20,896 | 275% |
| Genworth | $670 - $20,896 | 275% |
| Meritain Heatlh | $670 - $20,896 | 275% |
| Mhbp | $670 - $20,896 | 275% |
| Luminare Health | $1,121 | 460% |
| Ohio Health | $1,121 | 460% |
| Preferred Health | $1,121 | 460% |
| Medben | $1,121 | 460% |
| Amerihealth Caritas of Ohio | $3,657 | 1500% |
| Buckeye Community Health Plan | $4,022 | 1650% |
| Molina McD | $4,084 | 1675% |
| Shl | $17,571 | 7208% |
| Golden Rule | $17,571 | 7208% |
| Oxford | $17,571 | 7208% |
| Surest | $17,571 | 7208% |
| Medica | $17,571 | 7208% |
| Ushealth | $17,571 | 7208% |