CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: The Women's Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $170
  • Cash Discount Price: $947
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at The Women's Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $947. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.70x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$947

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $947 (388%)
Insurance Median: $170 (70%)
Cash: $947 (388% of Medicare)
Ins. Median: $170 (70% 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
Aetna $22 - $1,069 9%
Blue Cross Blue Shield $22 - $800 9%
Meridian Health Il $22 - $218 9%
Molina Il $22 - $218 9%
Humana $26 - $369 11%
Passport Molina Ky $26 - $369 11%
UnitedHealthcare $26 - $1,284 11%
Wellcare Ky $26 - $369 11%
Amish $28 - $166 11%
Self Pay $28 - $947 11%
Caresource $30 - $218 12%
Caresource Hip $30 - $190 12%
Caresource In $30 - $190 12%
Iu Health $30 - $803 12%
Mdwise Hip $30 - $190 12%
Mhs $30 - $218 12%
Mhs Behavioral $30 - $190 12%
Molina Ky $30 - $218 12%
Molina Ky Dual $30 - $218 12%
Ambetter / Centene $34 - $339 14%
Immergrun $36 - $671 15%
Caresource Marketplace (Just4Me) $39 - $328 16%
Patoka Valley Health Care (80/20 Plan) $39 - $995 16%
Patoka Valley Health Care (90/10 Plan) $39 - $963 16%
Encorecombined $40 - $1,124 16%
Encoreprime $40 - $1,091 16%
Hst $40 - $328 16%
Alliance Coal $41 - $1,113 17%
Allied National/Zelis - Freedom Plan $42 - $535 17%
Claimdoc $43 - $317 18%
Chamber Care $45 - $1,124 18%
One Care $45 - $1,124 18%
Center Care $47 - $1,252 19%
Cigna $48 - $1,156 20%
Claritev (Formerly Phcs/Mulitplan) $48 - $1,107 20%
First Health/Coventry $48 - $1,188 20%
Healthlink $48 - $1,364 20%
Hope Trust $48 - $360 20%
Noncontracted $48 - $349 20%
Sagamore $48 - $1,156 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals