CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Pulaski Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $181
  • Cash Discount Price: $757
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Pulaski Memorial Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $757. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.74x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$757

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $757 (311%)
Insurance Median: $181 (74%)
Cash: $757 (311% of Medicare)
Ins. Median: $181 (74% 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
UnitedHealthcare $28 - $1,635 11%
Ambetter / Centene $30 - $641 12%
Blue Cross Blue Shield $30 - $1,376 12%
Caresource Mcaid Hip $30 - $641 12%
Caresource Mcare Hmo $30 - $641 12%
Cenpatico Mcaid Hip $30 - $641 12%
Humana $30 - $1,664 12%
Mdwise Mcaid Hcc $30 - $190 12%
Mdwise Mcaid Hhw $30 - $190 12%
Mdwise Mcaid Hip - All Other Plans $30 - $641 12%
Mhs Mcaid Hip $30 - $641 12%
Mhs Mcare Allwell $30 - $648 12%
Multiplan - All Plans $30 - $1,862 12%
Encore Ppo - All Other Plans $35 - $1,759 14%
Caresource Exch Hmo Hix - All Other Plans $38 - $802 16%
Cigna $49 - $1,966 20%
Sagamore - All Other Plans $49 - $1,564 20%
Sagamore Rose Acre $49 - $1,542 20%
Community Health Alliance - All Plans $66 - $1,842 27%
Encore Workers Comp $84 - $1,862 34%
Caresource Mcaid Hhw $166 - $190 68%
Cenpatico Mcaid Hhw - All Other Plans $166 - $190 68%
Mhs Mcaid Hhw/Hcc $166 - $190 68%
Aetna $745 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals