CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $258
  • Cash Discount Price: $414
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Morris Hospital & Healthcare Centers is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $414. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.06x the Medicare baseline. Located in 150 W High St, Morris, IL.
Cash / Self-Pay
$414

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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: $414 (170%)
Insurance Median: $258 (106%)
Cash: $414 (170% of Medicare)
Ins. Median: $258 (106% 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
Blue Cross Blue Shield $35 - $1,612 14%
Caterpillar - All Plans $36 - $1,512 15%
Capp Care Ppo-Oth $39 - $1,612 16%
Aetna $50 - $2,062 21%
Ambetter / Centene $57 - $2,351 23%
UnitedHealthcare $59 - $2,586 24%
Cigna $62 - $2,519 25%
Choicecare Hum Othr - All Other Plans $65 - $2,687 27%
Multiplan - All Other Plans $65 - $2,687 27%
Multiplan Prime Ntwrk $65 - $2,687 27%
Health Alliance - All Other Plans $69 - $2,855 28%
Hfn All Plans - All Plans $69 - $2,855 28%
Choicecare Hum Mcr Ppo $256 105%
Health Alliance Mcr Adv $263 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals