CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercyone Waterloo Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $332
  • Cash Discount Price: $918
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercyone Waterloo Medical Center is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $918. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.36x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$918

Average discount available for prompt cash payment at this facility.

Insurance Median
$332

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: $918 (377%)
Insurance Median: $332 (136%)
Cash: $918 (377% of Medicare)
Ins. Median: $332 (136% 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.

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
Aetna $225 - $842 92%
Medicare (plans) $225 - $234 92%
Blue Cross Blue Shield $227 - $244 93%
Iowa Total Care $229 94%
UnitedHealthcare $229 - $1,412 94%
Medicaid / KanCare $231 - $232 95%
Bcn Domestic $244 100%
Blue Benefit Administrators Of Massachusetts $244 100%
Blue Care Network $244 100%
Blue Distinction Transplant $244 100%
Blue Shield - Ca $244 100%
Blue Shield - Id (Regence) $244 100%
Blue Shield - Ny Highmark Northeastern $244 100%
Blue Shield - Ny Highmark Western $244 100%
Blue Shield - Pa (Highmark) $244 100%
Blue Shield - Wa (Regence) $244 100%
Kaiser Domestic $244 100%
Pre-Employment $244 100%
Wc Domestic $244 100%
Amish Hospital Aid $305 125%
Health Choices $332 136%
Medical Associates $332 136%
Oscar $352 144%
Centivo $381 156%
Ambetter / Centene $385 158%
Claimdoc $461 189%
Nova $461 189%
Allied Benefit Systems $842 345%
Asr Health Benefits $842 345%
Christian Brother Services $842 345%
Coventry $842 345%
First Health $842 345%
Lucent Health $842 345%
Luminare Health $842 345%
Medical Mutual $842 345%
Meritain $842 345%
Webtpa $842 345%
Geha $902 370%
Health Partners $926 380%
Auxiant $1,003 411%
Cigna $1,003 411%
Medica $1,003 411%
Midlands $1,003 411%
Midlands Choice $1,003 411%
Iowa Dept Of Public Health $1,412 579%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals