CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hendricks Regional Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $257
Cash Discount Price: $800
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hendricks Regional Health is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $800. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$800

Average discount available for prompt cash payment at this facility.

Insurance Median

$257

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: $800 (328%)

Insurance Median: $257 (105%)

Cash: $800 (328% of Medicare)

Ins. Median: $257 (105% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$38 - $3,306	16%
Blue Cross Blue Shield	$157 - $456	64%
Medicare (plans)	$169 - $265	69%
Humana	$170 - $2,907	70%
Encore Health Network	$206 - $3,200	85%
UnitedHealthcare	$215 - $2,508	88%
Caresource Exchange	$224 - $257	92%
Multiplan	$224 - $3,095	92%
Multiplan/ Complementary	$224 - $3,376	92%
Multiplan/Beech Street	$224 - $3,341	92%
Ambetter / Centene	$232 - $505	95%
Cigna	$239 - $2,603	98%
Va Ccn	$252	103%
Sagamore Health Incumbent Program	$265 - $2,543	109%
Sagamorehealth Network	$265 - $2,719	109%
Siho Commercial Network	$386 - $2,814	158%
Encore Encircle Network	$2,462	1010%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $800.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hendricks Regional Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.