CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Illinois Hospital and Clinics

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $195
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Illinois Hospital and Clinics is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.80x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $611 (251%)
Insurance Median: $195 (80%)
Cash: $611 (251% of Medicare)
Ins. Median: $195 (80% 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
Molina $26 - $310 11%
Aetna $33 - $334 14%
Coventry $33 - $196 14%
Health Alliance $33 - $250 14%
Longevity Health Plan $33 - $185 14%
Sinai Medical Group $33 - $185 14%
United $33 - $300 14%
UnitedHealthcare $33 - $185 14%
Clear Springs Health $34 - $191 14%
Zing Health $34 - $189 14%
Village Md $35 - $232 14%
Wellcare $35 - $194 14%
Uic Physician Group $36 - $204 15%
Blue Cross Blue Shield $37 - $310 15%
Union Health Service $40 - $222 16%
Dolton Medical Associates $41 - $232 17%
Mac Neal Health Providers $41 - $232 17%
Mercy Physician Association $41 - $232 17%
Unified Physicians Network $41 - $232 17%
West Suburban Health Providers $41 - $232 17%
Lake County Physician Associates $43 - $241 18%
Northshore Physician Association $43 - $241 18%
Northwest Primary Care Alliance $43 - $241 18%
Southwest Physician Group Ltd $43 - $241 18%
Valenz $44 - $246 18%
Fox Valey Medicine Ltd $45 - $250 18%
Oak West Primary Care Alliance $45 - $250 18%
St Anthony Health Network $48 - $266 20%
Franciscan Hammond Clinic Llc $49 - $272 20%
Campus Care $50 - $278 21%
Healthsmart $50 - $278 21%
Physician Care Network Inc $50 - $276 21%
The Alliance $50 - $278 21%
Healthlink $52 - $2,385 21%
Cigna $54 - $302 22%
County Care Health Plan $55 - $310 23%
Meridian $55 - $310 23%
Youthcare Healthchoice $55 - $310 23%
Multiplan $69 - $603 28%
Equian $232 - $603 95%
Zelis $232 - $603 95%
Integrated Health Plan $256 - $663 105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals