CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Dupont Hospital LLC

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $438
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Dupont Hospital LLC is $438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $258 (106%)
Insurance Median: $438 (180%)
Cash: $258 (106% of Medicare)
Ins. Median: $438 (180% 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
Physicians Health Plan $22 - $932 9%
Amish Aid $24 - $650 10%
Self Pay $24 - $1,083 10%
Lutheran Preferred $27 - $1,444 11%
Cigna $29 - $874 12%
Php Freedom Network $30 - $799 12%
Aetna $33 - $1,076 14%
Encore Ppo $45 - $1,204 18%
Lutheran Network $45 - $1,204 18%
Medical Mutual Of Oh $48 - $1,276 20%
Sagamore $48 - $1,341 20%
Prime Health Services $68 - $1,805 28%
Frontpath $72 - $1,926 30%
Encore Health Network $74 - $2,166 30%
Advantage Health Solutions $75 - $1,998 31%
Multiplan $77 - $2,166 32%
Allied Benefit Systems $81 - $2,166 33%
Veterans Eval Services $90 - $222 37%
UnitedHealthcare $224 - $1,165 92%
Tricare $240 98%
Blue Cross Blue Shield $248 - $1,037 102%
Humana $248 - $740 102%
Medicare (plans) $248 102%
Node Mhs Mcr Adv $248 102%
Department Of Veterans Affairs $252 103%
Iu Health $252 103%
Node Non Par Hospice Agree $252 103%
Node Va $252 103%
Node Devoted Health Mcr Adv $253 104%
In Dept Of Correction $263 108%
Node Pphp Mcr Adv $265 109%
Us Department Of Labor $316 130%
Lutheran Advanced Network $379 155%
Lutheran Preferred Fixed 2 $379 155%
Managed Health Services $379 - $740 155%
Align In Work Comp $404 166%
Encore Work Comp In $454 186%
In Work Comp $505 207%
Encore Kba Epo $606 249%
Caresource $740 304%
Medicaid / KanCare $740 304%
Encore Kba Ppo $757 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals