CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Kosciusko Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $347
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Kosciusko Community Hospital is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

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: $168 (69%)
Insurance Median: $347 (142%)
Cash: $168 (69% of Medicare)
Ins. Median: $347 (142% 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
Amish Aid $19 - $582 8%
Self Pay $19 - $1,081 8%
Lutheran Preferred Network $28 - $2,218 11%
Physicians Health Plan $33 - $1,277 14%
Php Freedom Network $35 - $1,071 14%
UnitedHealthcare $35 - $1,458 14%
Encore $36 - $1,109 15%
Trma Inc $36 - $1,247 15%
Aetna $37 - $1,475 15%
Connecticut General Life Insurance Company $53 - $1,633 22%
Cigna $57 - $1,752 23%
First Health Network $68 - $2,079 28%
Prime Health Services $68 - $2,079 28%
Advantage Health $75 - $2,301 31%
Private Healthcare Systems $77 - $2,384 32%
Sagamore $79 - $2,606 32%
Encore Health Network $84 - $2,578 34%
Veterans Eval Services $90 - $222 37%
One Call Care Diagnostics Wc $171 70%
Tricare $240 98%
Department Of Veterans Affairs $252 103%
Blue Cross Blue Shield $266 - $1,037 109%
Humana $266 - $740 109%
Medicare (plans) $266 109%
Mhs $266 - $740 109%
Iu Health $270 111%
Node Non Par Hospice Agree $270 111%
Node Va $270 111%
Node Devoted Health Mcr Adv $271 111%
In Dept Of Correction $281 115%
Node Pphp Mcr Adv $284 117%
Us Department Of Labor $338 139%
Lutheran Advanced Network $406 167%
Lutheran Preferred $406 - $541 167%
Align In Work Comp $433 178%
One Call Work Comp $433 178%
Encore Work Comp In $487 200%
Managed Health Services Exchange $541 222%
Workers Comp $541 222%
Caresource $569 - $740 233%
Encore Kba Epo $649 266%
Managed Health Services $740 304%
Medicaid / KanCare $740 304%
Encore Kba Ppo $811 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals