CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $191
  • Cash Discount Price: $1,080
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sarah Bush Lincoln Health Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,080. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.78x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$1,080

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $1,080 (443%)
Insurance Median: $191 (78%)
Cash: $1,080 (443% of Medicare)
Ins. Median: $191 (78% 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 $33 - $1,777 14%
Bc Comm Mmai $33 - $274 14%
Beacon Health Options Behav-All Plans $33 - $274 14%
Hlth Alliance Mcr Adv $33 - $274 14%
Humana $33 - $279 14%
Meridian Mcaid $33 - $211 14%
Meridian Mmai-All Other Plans $33 - $274 14%
Molina Mmai-All Other Plans $33 - $274 14%
Tricare $33 - $274 14%
UnitedHealthcare $33 - $1,638 14%
Va Ccn-All Plans $33 - $274 14%
Wellcare Med Adv-All Plans $33 - $274 14%
Bc Med Adv Ppo/Hmo $34 - $282 14%
Blue Cross Blue Shield $35 - $1,579 14%
First Health-All Plans $48 - $1,678 20%
Multiplan-All Plans $60 - $1,698 25%
Plain Church Mg-All Plans $74 - $790 30%
Mennonite-All Plans $84 - $888 34%
Eiu Athlete-All Other Plans $130 - $1,382 53%
Healthscope-All Plans $138 - $1,461 57%
Rural King-All Plans $138 - $1,461 57%
Hope Trust-All Plans $149 - $1,579 61%
Eiu Student $153 - $1,619 63%
Allied National-All Plans $156 - $1,658 64%
Companion Life-All Plans $156 - $1,658 64%
Innovative Hlthware-All Plans $158 - $1,678 65%
Healthlink Hmo $160 - $1,698 66%
Healthlink Ppo - All Other Plans $160 - $1,698 66%
Cigna $167 - $1,777 69%
Consociate-All Plans $167 - $1,579 69%
Cphp-All Plans $167 - $1,777 69%
Beech Street-All Plans $171 - $1,816 70%
Hfn-All Plans $171 - $1,816 70%
Bc Comm Care Mcaid $211 87%
Hlth Alliance Mcaid $211 87%
Molina Mcaid $211 87%
Hlth Alliance-All Other Plans $1,658 680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals