CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Kossuth Regional Health Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $423
  • Cash Discount Price: $728
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Kossuth Regional Health Center is $423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.74x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$728

Average discount available for prompt cash payment at this facility.

Insurance Median
$423

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: $728 (299%)
Insurance Median: $423 (174%)
Cash: $728 (299% of Medicare)
Ins. Median: $423 (174% 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
Humana $30 - $427 12%
Va Ccn - All Plans $30 - $423 12%
Amerigroup Mcr Adv - All Other Plans $31 - $431 13%
UnitedHealthcare $31 - $844 13%
Mercy One - All Plans $32 - $423 13%
Sanford Pho Isno Mcr Adv Profee Only - All Plans $32 13%
Medical Associates - All Plans $50 - $945 21%
Preferred Health - All Plans $50 - $945 21%
Blue Cross Blue Shield $59 - $228 24%
Health Partners New Bus - All Other Plans $68 - $778 28%
Midlands Choice - All Plans $73 - $778 30%
Health Partners Exisiting Bus $75 - $1,079 31%
Aetna $77 - $1,079 32%
Multiplan - All Plans $673 - $1,056 276%
Molina Mcaid/Chip - All Plans $726 - $1,145 298%
Amerigroup Mcaid $729 - $1,156 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals