CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Deaconess Illinois Crossroads

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $239
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Deaconess Illinois Crossroads is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $320 (131%)
Insurance Median: $239 (98%)
Cash: $320 (131% of Medicare)
Ins. Median: $239 (98% 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 $22 - $1,149 9%
Blue Cross Blue Shield $22 - $691 9%
Meridian Health Plan $22 - $252 9%
Molina Healthcare Of Illinois $22 - $254 9%
Wellcare $22 - $252 9%
Self-Pay $28 - $320 11%
Humana $30 - $1,134 12%
Mytru Advantage $30 - $252 12%
Umwa $30 - $252 12%
UnitedHealthcare $30 - $844 12%
Cigna $31 - $566 13%
Alliance Coal $42 - $416 17%
Deaconess Onecare $46 - $800 19%
Alter-Net Medical Services, Inc. $49 - $718 20%
Noncontracted $49 - $403 20%
Prime Health Services $59 - $1,091 24%
Guardian Resources, Inc. $66 - $1,222 27%
Healthcare'S Finest Network (Hfn) $67 - $1,236 27%
Medicalcontrol Network Solutions $67 - $1,236 27%
National Provider Network $67 - $1,236 27%
Three Rivers Provider Network $69 - $1,265 28%
Beech Street $70 - $1,280 29%
Care Improvement Plus $257 105%
Hope Trust $509 - $718 209%
Wexford Health Sources $655 - $1,018 269%
Encore Prime/Elite/Elite + $799 - $825 328%
Encore Combined $887 - $916 364%
Great West Healthcare Of Illinois $1,091 448%
Multiplan - Primary Network - Phcs $1,142 468%
Healthlink $1,164 - $1,236 477%
Coventry Healthcare $1,225 503%
First Health $1,225 503%
Multiplan - Complementary Network $1,242 509%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals