CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Saint Joseph Regional Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $30
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Saint Joseph Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.12x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$81
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $81 (33%)
Insurance Median: $30 (12%)
Cash: $81 (33% of Medicare)
Ins. Median: $30 (12% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $20 - $740 | 8% |
| Aetna | $30 - $1,104 | 12% |
| Albany County Correctional Facility | $30 | 12% |
| Align Senior Care | $30 | 12% |
| Ally Align Care Adv | $30 | 12% |
| Ambetter / Centene | $30 | 12% |
| American Health Advantage Of Idaho | $30 | 12% |
| American Health Plan | $30 | 12% |
| Amish Mennonite | $30 | 12% |
| Andrie Inc | $30 | 12% |
| Ascension St. Vincent Public Safety Medical | $30 | 12% |
| Aurora Special Needs | $30 | 12% |
| Bcccp-Michigan | $30 | 12% |
| Bccp | $30 | 12% |
| Blue Care Network Advantage | $30 | 12% |
| Blue Cross Blue Shield | $30 - $891 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $30 | 12% |
| Bmc Healthnet | $30 | 12% |
| Breast Grant-Connecticut | $30 | 12% |
| Broward County Dept Of Health | $30 | 12% |
| California Health And Wellness | $30 | 12% |
| Cardinal Innovations Lme | $30 | 12% |
| Care Connections Of Northern Iowa | $30 | 12% |
| Care Dimensions | $30 | 12% |
| Care Improvement Plus | $30 | 12% |
| Care Oregon Ohp | $30 | 12% |
| Care Resources Pace | $30 | 12% |
| Careplus Health Plans | $30 | 12% |
| Cca - Zing Health | $30 | 12% |
| Cca Senior Care Options | $30 | 12% |
| Cencal Health Plan | $30 | 12% |
| Cenpatico | $30 | 12% |
| Central Valley Medical Services Corp Pace | $30 | 12% |
| Champion Health Plan Mcr Advantage | $30 | 12% |
| Champva | $30 | 12% |
| Chhuny | $30 | 12% |
| Childrens Comm Health Plan | $30 | 12% |
| Childrens Medical Services Title 19 | $30 | 12% |
| Cigna | $30 - $1,087 | 12% |
| City Of Philadelphia | $30 | 12% |
| Clear Spring Health | $30 | 12% |
| Clover Health | $30 | 12% |
| Cmh Allegan County | $30 | 12% |
| Cmh Ausable Valley | $30 | 12% |
| Cmh Barry County | $30 | 12% |
| Cmh Bay-Arenac County | $30 | 12% |
| Cmh Berrien County | $30 | 12% |
| Cmh Cass County | $30 | 12% |
| Cmh Central Mi County | $30 | 12% |
| Cmh Clinton-Eaton-Ingham County | $30 | 12% |
| Cmh Detroit Wayne Integrated Health Network | $30 | 12% |
| Cmh Genesee County | $30 | 12% |
| Cmh Ionia County | $30 | 12% |
| Cmh Jackson County/Lifeways | $30 | 12% |
| Cmh Kalamazoo | $30 | 12% |
| Cmh Kent County | $30 | 12% |
| Cmh Lenawee County | $30 | 12% |
| Cmh Livingston County | $30 | 12% |
| Cmh Macomb | $30 | 12% |
| Cmh Misc | $30 | 12% |
| Cmh Monroe County | $30 | 12% |
| Cmh Montcalm County | $30 | 12% |
| Cmh Muskegon County | $30 | 12% |
| Cmh Newaygo County | $30 | 12% |
| Cmh North Country | $30 | 12% |
| Cmh Northern Lakes County | $30 | 12% |
| Cmh Oakland County | $30 | 12% |
| Cmh Ottawa County | $30 | 12% |
| Cmh Van Buren County | $30 | 12% |
| Cmh Washtenaw County | $30 | 12% |
| Cmh Wayne County/Carelink | $30 | 12% |
| Cmh Wayne Cty/Com Liv Svcs | $30 | 12% |
| Cmh West Mi County | $30 | 12% |
| Commonwealth Care Alliance | $30 | 12% |
| Community Benefit Health | $30 | 12% |
| Community Care Behavorial Health | $30 | 12% |
| Community Care Partners | $30 | 12% |
| Community Health Choice | $30 | 12% |
| Community Pace At Home | $30 | 12% |
| Connections Csp | $30 | 12% |
| County Coroner | $30 - $263 | 12% |
| County Funding Generic | $30 | 12% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $30 | 12% |
| Dean Wi Badgercare | $30 | 12% |
| Delaware County Department Of Health | $30 | 12% |
| Delaware First Health | $30 | 12% |
| Delta Dental Nj | $30 | 12% |
| Dph Tb Program | $30 | 12% |
| Dscc | $30 | 12% |
| East Greenbush Central School District | $30 | 12% |
| Eastpointe Lme | $30 | 12% |
| Eddy Senior Care-Pace | $30 | 12% |
| Eddy Seniorcare Pace | $30 | 12% |
| Elementcare | $30 | 12% |
| Evercare | $30 | 12% |
| Everence | $30 | 12% |
| Family Health Network | $30 | 12% |
| Freedom First Healthcare | $30 | 12% |
| Fresno County Ccs | $30 | 12% |
| Gateway Health Plan | $30 | 12% |
| Genesys Pace Of Genesee County | $30 | 12% |
| Genex Wc | $30 | 12% |
| Georgia Health Advantage | $30 | 12% |
| Ghc Scw Wi Badgercare | $30 | 12% |
| Gold Advantage | $30 | 12% |
| Gpa Croell Redi Mix | $30 | 12% |
| Harbor Health | $30 | 12% |
| Health America Advantra | $30 | 12% |
| Health Safety Net | $30 | 12% |
| Healthsmart Workers Comp | $30 | 12% |
| Healthy Blue Ne | $30 | 12% |
| Hennepin Health | $30 | 12% |
| Highmark Health Options Dual Plan | $30 | 12% |
| Hope Select Pace | $30 | 12% |
| Horizon Nj Total Care | $30 | 12% |
| Hudson Headwaters Pace | $30 | 12% |
| Humana | $30 | 12% |
| Huron Valley Pace | $30 | 12% |
| Id County Ada | $30 | 12% |
| Id County Canyon | $30 | 12% |
| Id County Cat Fund | $30 | 12% |
| Id County Other | $30 | 12% |
| Id County Payette | $30 | 12% |
| Idaho Dept Health And Wellfare | $30 | 12% |
| Idaho Womens Health Check | $30 | 12% |
| Indiana Breast Cervical Cancer | $30 | 12% |
| Inland Empire Health Plan | $30 | 12% |
| Innovative Integrated Health Community Plans | $30 | 12% |
| Intercommunity Health Ohp | $30 | 12% |
| Iowa Health Advantage | $30 | 12% |
| Iowa Total Care | $30 | 12% |
| Jag Source | $30 | 12% |
| Jai Medical System | $30 | 12% |
| Johns Hopkins Advantage Md | $30 | 12% |
| Kern Family Health Plan | $30 | 12% |
| Keystone First | $30 | 12% |
| Keystone First Chip | $30 | 12% |
| La Care Health Plan | $30 | 12% |
| Lakeland Care Inc | $30 | 12% |
| Lasso Healthcare Msa | $30 | 12% |
| Life St Marys Pace | $30 | 12% |
| Lifecircles Pace | $30 | 12% |
| Longevity Health Plan | $30 | 12% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $30 | 12% |
| Managed Health Services - Indiana | $30 - $740 | 12% |
| Martins Point Generations Advantage | $30 | 12% |
| Maryland Breast & Cervical Program | $30 | 12% |
| Maryland Healthy Smiles - Scion Dental | $30 | 12% |
| Maryland Physicians Care | $30 | 12% |
| Mass General Brigham Mcr Adv | $30 | 12% |
| Massachusetts Behavioral Health Partnership | $30 | 12% |
| Mdwise | $30 - $740 | 12% |
| Medi-Cal | $30 | 12% |
| Medi-Cal Healthnet | $30 | 12% |
| Medicare (plans) | $30 - $257 | 12% |
| Medipak Advantage | $30 | 12% |
| Medstar Dc Healthy Family | $30 | 12% |
| Medstar Md Health Choice | $30 | 12% |
| Mercy Life | $30 | 12% |
| Mercyone Cedar Valley | $30 | 12% |
| Meridian Complete | $30 - $252 | 12% |
| Michigan Complete Health | $30 | 12% |
| Mo Home State Health Plan | $30 | 12% |
| Molina Centennial Care | $30 | 12% |
| Nascentia Health Options | $30 | 12% |
| Nascentia Health Plus | $30 | 12% |
| Nebraska Total Care | $30 | 12% |
| New Centry Health Careplus | $30 | 12% |
| New York Cancer Services Program | $30 | 12% |
| New York State Insurance Fund | $30 | 12% |
| Nextlevel Health | $30 | 12% |
| Njm Insurance Group | $30 | 12% |
| Oregon Screenwise | $30 | 12% |
| Osu Prime Care Advantage | $30 | 12% |
| Pace Cny | $30 | 12% |
| Pace Iowa Immanuel Pathways | $30 | 12% |
| Pace Of Southwest Michigan | $30 | 12% |
| Pace Southeast | $30 | 12% |
| Pace-Trinity Health | $30 - $252 | 12% |
| Paramount Advantage | $30 | 12% |
| Parkland Community Health Plan | $30 | 12% |
| Partners Behavioral Lme | $30 | 12% |
| Peach State Healthplan | $30 | 12% |
| Peak Pace Solutions | $30 | 12% |
| Perennial Advantage | $30 | 12% |
| Philadelphia County Funding | $30 | 12% |
| Preferred Care Partners | $30 | 12% |
| Presbyterian Centennial Care | $30 | 12% |
| Presbyterian Senior Plan | $30 | 12% |
| Prestige Health Choice | $30 | 12% |
| Priority Partners | $30 | 12% |
| Provider Partners Health Plan Of Illinois | $30 | 12% |
| Pruitthealth Premier | $30 | 12% |
| Reliance Community Care Partners Care Resources Pace | $30 | 12% |
| Robert F Sing Program | $30 | 12% |
| Rx 340B Pass Along | $30 | 12% |
| Rx Allwin | $30 | 12% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $30 | 12% |
| Rx Grane Grnmedd | $30 | 12% |
| Rx Heatlhcomp | $30 | 12% |
| Rx Medi-Cal | $30 | 12% |
| Rx Meridian Rx | $30 | 12% |
| Rx Restat | $30 | 12% |
| Rx Retiree Rx Care | $30 | 12% |
| Rx Saif Opdp Wc | $30 | 12% |
| Rx Worker'S Comp | $30 | 12% |
| Ryan White Florida Mssrp | $30 | 12% |
| Sandhills Center Lme | $30 | 12% |
| Scan Health Plan Mcr Ipa Meritage Oon | $30 | 12% |
| Screening For Life | $30 | 12% |
| Secure Horizons Ma Pffs | $30 | 12% |
| Serenity Pace | $30 | 12% |
| Siouxland Pace | $30 | 12% |
| Solis Health Plans | $30 | 12% |
| St Joseph County Hlth Dpt | $30 - $379 | 12% |
| Stephenson Cty Health | $30 | 12% |
| Sunnyview-Pace Finance Dept | $30 | 12% |
| Sunshine State Health Plan | $30 | 12% |
| Superior Health | $30 | 12% |
| Tenncare | $30 | 12% |
| Texan Plus | $30 | 12% |
| Texas Children'S Health Plan | $30 | 12% |
| The Health Plan | $30 | 12% |
| Thome Pace | $30 | 12% |
| Todays Options | $30 | 12% |
| Tribute Health Plans | $30 | 12% |
| Tricare | $30 | 12% |
| Trillium Community Ohp | $30 | 12% |
| Triwest Health Alliance | $30 | 12% |
| Tufts Health Public Plans | $30 | 12% |
| Um Health Advantage | $30 | 12% |
| Union Health Service | $30 | 12% |
| UnitedHealthcare | $30 - $1,082 | 12% |
| Us Family Health Plan | $30 | 12% |
| Vaya Health Lme | $30 | 12% |
| Veterans Administration | $30 | 12% |
| Veterans Eval Services | $30 | 12% |
| Washtenaw Health Plan | $30 | 12% |
| Wc Accident Fund | $30 | 12% |
| Wc Ace | $30 | 12% |
| Wc Acs Federal Employees | $30 | 12% |
| Wc Acuity | $30 | 12% |
| Wc Advantage | $30 | 12% |
| Wc Aegis | $30 | 12% |
| Wc Aig | $30 | 12% |
| Wc Aims | $30 | 12% |
| Wc Alaska National Ins | $30 | 12% |
| Wc Align Network | $30 - $1,699 | 12% |
| Wc Allied | $30 | 12% |
| Wc Am Trust N America | $30 | 12% |
| Wc American Claims Mgmt | $30 | 12% |
| Wc Amerisure | $30 | 12% |
| Wc Amtrust | $30 | 12% |
| Wc Asu Risk Mgt | $30 | 12% |
| Wc Benetech | $30 | 12% |
| Wc Berkley Admin | $30 | 12% |
| Wc Broadspire | $30 | 12% |
| Wc Broward County | $30 | 12% |
| Wc Bunch & Associates | $30 | 12% |
| Wc California State Comp Ins | $30 | 12% |
| Wc California State Ins Fund | $30 | 12% |
| Wc Capitol Area Health Consortium | $30 | 12% |
| Wc Ccmsi | $30 | 12% |
| Wc Chartis | $30 | 12% |
| Wc Chubb | $30 | 12% |
| Wc Cirma | $30 | 12% |
| Wc City Of Albany | $30 | 12% |
| Wc City Of Sioux City | $30 | 12% |
| Wc Claims Mgmt Inc | $30 | 12% |
| Wc Cna | $30 | 12% |
| Wc Comp One Admin C/O Manageability | $30 | 12% |
| Wc Compone Admin | $30 | 12% |
| Wc Corvel | $30 | 12% |
| Wc Ct Healthcare Trust | $30 | 12% |
| Wc Donegal Insurance Group | $30 | 12% |
| Wc Emc Insurance Company | $30 | 12% |
| Wc Employee Mutual | $30 | 12% |
| Wc Enablecomp | $30 | 12% |
| Wc Erie | $30 | 12% |
| Wc Esis | $30 | 12% |
| Wc Evolutions | $30 | 12% |
| Wc Fcci | $30 | 12% |
| Wc Fed Ex | $30 | 12% |
| Wc Federal Black Lung | $30 | 12% |
| Wc Federated | $30 | 12% |
| Wc Finley Occupational Health | $30 | 12% |
| Wc First Agency/Occunet | $30 | 12% |
| Wc Ford Motor | $30 | 12% |
| Wc Fresno Unified Emp | $30 | 12% |
| Wc Gallagher Bassett | $30 | 12% |
| Wc General Motors | $30 | 12% |
| Wc Generic | $30 | 12% |
| Wc Genex Care For Ohio | $30 | 12% |
| Wc Great West Casualty | $30 | 12% |
| Wc Guarantee Insurance | $30 | 12% |
| Wc Guard Insurance Company | $30 | 12% |
| Wc Hab | $30 | 12% |
| Wc Hartford | $30 | 12% |
| Wc Hastings | $30 | 12% |
| Wc Health Management | $30 | 12% |
| Wc Heritage Summit | $30 | 12% |
| Wc Hireright | $30 | 12% |
| Wc Horizon | $30 | 12% |
| Wc Icw Group | $30 | 12% |
| Wc Idaho State Ins Fund | $30 | 12% |
| Wc Intercare Insurance | $30 | 12% |
| Wc Intermountain | $30 | 12% |
| Wc Johns Eastern | $30 | 12% |
| Wc Kemberton | $30 | 12% |
| Wc Key Ins & Benefit Solutions | $30 | 12% |
| Wc Liberty Mutual | $30 | 12% |
| Wc Mac Risk Management | $30 | 12% |
| Wc Massachusetts | $30 | 12% |
| Wc Mdia | $30 | 12% |
| Wc Meadowbrook Claim | $30 | 12% |
| Wc Medical Administrators | $30 | 12% |
| Wc Meijers | $30 | 12% |
| Wc Memic | $30 | 12% |
| Wc Mercy Workcare | $30 | 12% |
| Wc Michigan | $30 | 12% |
| Wc Michigan Millers Mutual | $30 | 12% |
| Wc Mitchell Frankenmuth | $30 | 12% |
| Wc Mra | $30 | 12% |
| Wc Nationwide | $30 | 12% |
| Wc Nca Comp | $30 | 12% |
| Wc New York | $30 | 12% |
| Wc New York Special Funds | $30 | 12% |
| Wc North American Rishces | $30 | 12% |
| Wc Northeast Health | $30 | 12% |
| Wc Notre Dame | $30 - $934 | 12% |
| Wc Novanet | $30 | 12% |
| Wc O'Hara Corp | $30 | 12% |
| Wc Occ Health Allen | $30 | 12% |
| Wc Ohio Bureau | $30 | 12% |
| Wc One Call Medical | $30 | 12% |
| Wc Paradigm | $30 | 12% |
| Wc Peerless | $30 | 12% |
| Wc Pma | $30 | 12% |
| Wc Praxis Health Network | $30 | 12% |
| Wc Price Chopper | $30 | 12% |
| Wc Procura Management | $30 | 12% |
| Wc Qualcare | $30 | 12% |
| Wc Quiktrip | $30 | 12% |
| Wc Reny Company | $30 | 12% |
| Wc Rev Claims | $30 | 12% |
| Wc Risico | $30 | 12% |
| Wc Rural Mutual | $30 | 12% |
| Wc Saif Oregon | $30 | 12% |
| Wc Secura | $30 | 12% |
| Wc Sedgwick | $30 | 12% |
| Wc Sentry | $30 | 12% |
| Wc Sheakley Unicomp | $30 | 12% |
| Wc Smile Lodge | $30 | 12% |
| Wc Society | $30 | 12% |
| Wc Srs | $30 | 12% |
| Wc Taconic (Mro) | $30 | 12% |
| Wc Taconic Farms | $30 | 12% |
| Wc Travelers | $30 | 12% |
| Wc Triad Group | $30 | 12% |
| Wc Tristar | $30 | 12% |
| Wc Troy Ny | $30 | 12% |
| Wc Tyson | $30 | 12% |
| Wc Unified Health Services | $30 | 12% |
| Wc United Heartland | $30 | 12% |
| Wc Us Dept Of Labor | $30 | 12% |
| Wc Velocity | $30 | 12% |
| Wc Walmart | $30 | 12% |
| Wc West Bend | $30 | 12% |
| Wc West Bend Mutual/Argent | $30 | 12% |
| Wc Winnebago Industries | $30 | 12% |
| Wc Yankee Trails | $30 | 12% |
| Wc York Risk | $30 | 12% |
| Wc Zenith | $30 | 12% |
| Wc Zurich | $30 | 12% |
| Welbe Health | $30 | 12% |
| Wellmed | $30 | 12% |
| Wellsense Health Plan | $30 | 12% |
| Wi Womens Wellness | $30 | 12% |
| Christian Brother Services | $33 - $1,104 | 14% |
| Meritain | $33 - $1,104 | 14% |
| Preferred One | $33 - $1,104 | 14% |
| Provider Partners Health Plan Of Indiana | $34 - $278 | 14% |
| Bcn Domestic | $38 | 16% |
| Blue Benefit Administrators Of Massachusetts | $38 - $891 | 16% |
| Blue Care Network | $38 - $891 | 16% |
| Blue Distinction Transplant | $38 - $891 | 16% |
| Blue Shield - Ca | $38 - $891 | 16% |
| Blue Shield - Id (Regence) | $38 - $891 | 16% |
| Blue Shield - Ny Highmark Northeastern | $38 - $891 | 16% |
| Blue Shield - Ny Highmark Western | $38 - $891 | 16% |
| Blue Shield - Pa (Highmark) | $38 - $891 | 16% |
| Blue Shield - Wa (Regence) | $38 - $891 | 16% |
| Health Choices | $38 | 16% |
| Kaiser Domestic | $38 | 16% |
| Pre-Employment | $38 | 16% |
| Wc Domestic | $38 | 16% |
| Caresource | $40 - $391 | 16% |
| Ameriben | $46 - $1,019 | 19% |
| Geha | $57 - $1,082 | 23% |
| Allied Benefit Systems | $66 - $1,104 | 27% |
| Auxiant | $66 - $1,410 | 27% |
| Benefit Administrative Systems,Llc | $66 | 27% |
| Community Health Alliance | $66 | 27% |
| Custom Design Benefits | $66 - $543 | 27% |
| Encore Health | $66 - $1,057 | 27% |
| Key Benefit Administrator | $66 - $1,057 | 27% |
| Luminare Health (Detroit) | $66 - $1,019 | 27% |
| Physicians Health Plan Northern Indiana Health Insurance | $66 - $762 | 27% |
| Phcs | $68 - $75 | 28% |
| Sagamore Health Network | $71 - $1,257 | 29% |
| Signature Care | $71 - $1,359 | 29% |
| Plain Church Group | $76 - $459 | 31% |
| Wc Encore Health Network | $76 - $81 | 31% |
| Siho Insurance Services | $404 | 166% |
| Hospice Of Marshall County | $442 | 181% |
| Hospice Of St Joseph County | $442 | 181% |
| Notre Dame Athletic Association | $934 | 383% |
| Indiana Criminal Justice Inst | $1,057 | 434% |
| Western & Southern Financial Group | $1,057 | 434% |
| Healthscope | $1,082 | 444% |
| Student Insurance Cma | $1,082 | 444% |
| Group Administrators | $1,087 | 446% |
| Health Partners | $1,087 | 446% |
| Mvp | $1,087 | 446% |
| Prairie States | $1,087 | 446% |
| Priority Health | $1,087 | 446% |
| Professional Benefit Administrators | $1,087 | 446% |
| Sisco Benefits | $1,087 | 446% |
| Unified Group Services | $1,087 | 446% |
| Asr Health Benefits | $1,104 | 453% |
| Employee Benefit Management | $1,104 | 453% |
| Medical Mutual | $1,104 | 453% |
| Rural Carrier Health Benefit Plan | $1,104 | 453% |
| Webtpa | $1,104 | 453% |
| Goshen Preferred Network | $1,308 - $1,461 | 537% |
| Christian Brothers Holy Cross | $1,359 | 557% |
| Bankers Life Casualty | $1,699 | 697% |
| Bureau Of Disability | $1,699 | 697% |