CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Goshen Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $233
  • Cash Discount Price: $1,250
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Goshen Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,250. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$1,250

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $1,250 (513%)
Insurance Median: $233 (96%)
Cash: $1,250 (513% of Medicare)
Ins. Median: $233 (96% 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
Advantage Health Solutions $233 96%
Aetna $233 96%
Atrio Health Plans $233 96%
Bc Federal Employee $233 96%
Bc Mcr Advantage Ppo $233 96%
Blue Cross Blue Shield $233 - $790 96%
Buckeye Health Plan $233 96%
Cigna $233 96%
Coventry Health And Life $233 96%
Emblem Health $233 96%
Freedom Healthcare $233 96%
Geisinger Health Plan $233 96%
Health First $233 96%
Healthspring $233 96%
Humana $233 96%
Iehp Empire Health Plan $233 96%
Independent Care Health Plan $233 96%
Kaiser Permanente $233 96%
Mcr Advantra Freedom $233 96%
Mcr Allwell Mhs $233 96%
Mcr Banner Health $233 96%
Mcr Complete $233 96%
Mcr Complete Ppo $233 96%
Mcr Complete Wellmed $233 96%
Mcr Health Alliance $233 96%
Mcr Health Partners Plans $233 96%
Mcr Medical Mutual Of Ohio $233 96%
Mcr Passport Advantage $233 96%
Mcr Secure Horizons Ppo $233 96%
Mcr Texan Plus $233 96%
Mcr Upmc For Life $233 96%
Medicare (plans) $233 - $247 96%
Meridian Complete $233 96%
Optimum Healthcare $233 96%
Paramount Elite $233 96%
Primetime Health Plan $233 96%
Simply Complete Hmo $233 96%
The Umwa H&R Funds $233 96%
Todays Options Pyramid Life $233 96%
Trillium Advantage $233 96%
Ucare For Seniors $233 96%
Ucare Minnesota $233 96%
UnitedHealthcare $233 - $373 96%
Wellcare $233 96%
Champva $240 98%
Tricare $240 98%
Mcr Devoted Health Plan $247 101%
Mcr Provider Partners Hlth Pln $264 108%
Ambetter / Centene $336 138%
Mkt Caresource $336 138%
All Savers $373 153%
Golden Rule Insurance 2Nd $373 153%
Oxford Health $373 153%
Uhclic $373 153%
Uhss $373 153%
Bc Allied $790 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals