CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hancock Regional Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $2,648
  • Cash Discount Price: $2,648
  • vs. Medicare Baseline: 10.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hancock Regional Hospital is $2,648. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,648. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.86x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$2,648

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,648

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: $2,648 (1086%)
Insurance Median: $2,648 (1086%)
Cash: $2,648 (1086% of Medicare)
Ins. Median: $2,648 (1086% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1086% of the Medicare baseline (a markup of 986%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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
Blue Cross Blue Shield $190 - $2,472 78%
Mhs/Mdwise Mcaid-All Plans $190 78%
UnitedHealthcare $190 - $2,565 78%
Iu Health Mcr Adv $252 103%
Triwest - All Plans $252 103%
Va Ccn - All Plans $252 103%
Caresource Mcr Adv $257 105%
Beech Street Mcr Adv $260 107%
Humana $260 - $3,144 107%
Allwell Mcr Adv - All Plans $265 109%
Communicare Mcr Adv - All Plans $265 109%
Ambetter / Centene $505 207%
Caresource Comm - All Other Plans $631 259%
Iu Health-All Other Plans $694 285%
Ascension - All Plans $2,482 1018%
Aetna $2,516 - $3,310 1032%
Cigna $2,648 1086%
Encore Encircle $2,648 1086%
Hancock Phys Network-All Plans $2,648 1086%
Unified Group Services- All Plans $2,648 1086%
Advantage Self Funded Ppo-All Other Plans $2,714 1113%
Healthmark/Healthchoice-All Plans $2,714 1113%
Sagamore-All Plans $2,714 1113%
Encore-All Other Plans $2,814 1154%
Consumers Life-All Plans $2,913 1195%
St Vincent Cmo-All Plans $2,913 1195%
Siho-All Plans $2,979 1222%
Great West-All Plans $3,045 1249%
Savility - All Plans $3,045 1249%
Cofinity/Ppom - All Plans $3,078 1263%
First Health/Coventry-All Plans $3,111 1276%
Mail Handlers-All Plans $3,111 1276%
Golden Rule Ins-All Plans $3,144 1290%
Indiana Health Network-All Plans $3,144 1290%
Phcs-All Plans $3,144 1290%
Beech Street Ppo - All Other Plans $3,178 1304%
Comm Hlth Alliance - All Plans $3,211 1317%
Multiplan-All Plans $3,244 1331%
Advantage Preferred Plus $3,310 1358%
Healthy Indiana Plan-All Plans $3,310 1358%
Copps - All Plans $6,817 2796%
Pro Health - All Plans $9,930 4074%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals