CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$305
about 1.3× the $244 Medicare rate · typically $205–$480
modeled estimate · not a bill or quote
What this hospital charges insurers
$480
Above the fair price
about $175 over the fair price · 2.0× Medicare
Medicare pays $244 Fair price $305 This hospital $480 Cash price $1,104 Hospital's list price $1,699

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $140 Priciest $480

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $305 (about 1.3× the $244 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $480, or about $1,104 in cash — above the fair price. Located in Plymouth, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $305. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $131 - $1,082 54%
Blue Cross Blue Shieldmajor $131 - $891 54%
Aetnamajor $131 - $1,104 54%
Cignamajor $1,223 502%
AvMed $1,529 627%
CareSource $391 160%
Dean Health Plan $1,529 627%
GEHA $1,082 444%
Health Net $1,223 - $1,308 502%
HealthPartners $1,223 502%
Medical Mutual $1,104 453%
Meridian $252 103%
MVP Health Care $1,223 502%
Paramount $1,529 627%
Priority Health $1,223 502%
+ 53 smaller / regional plans $252 - $1,699
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals