CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Deaconess Henderson Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $170
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Deaconess Henderson Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.70x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$451

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: $451 (185%)
Insurance Median: $170 (70%)
Cash: $451 (185% 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
Blue Cross Blue Shield $22 - $854 9%
Wellcare Il $22 - $215 9%
Aetna $26 - $1,457 11%
Medicaid / KanCare $26 - $300 11%
UnitedHealthcare $26 - $1,176 11%
Wellcare Ky $26 - $258 11%
Humana $27 - $1,202 11%
Ky Racing Health & Welfare Fund $28 - $436 11%
Self-Pay $28 - $451 11%
Medicare (plans) $29 - $215 12%
Mhs Mco $29 - $215 12%
Molina Healthcare Of Ky $29 - $215 12%
Molina Healthcare Of Ky - Exchange $29 - $215 12%
Mytru Advantage $29 - $215 12%
Umwa $29 - $215 12%
Caresource In $30 - $170 12%
Caresource In Marketplace $38 - $323 16%
Wellcare Ky Commercial Exchange $38 - $441 16%
Center Care Narrow $39 - $856 16%
Center Care Open Access $39 - $931 16%
Alliance Coal $40 - $323 16%
Encircle/Encore Combined $40 - $869 16%
Encircle/Encore Prime $40 - $810 16%
Cigna $47 - $961 19%
Claimdoc $47 - $901 19%
Hopetrust $47 - $516 19%
Hstechnology $47 - $516 19%
Noncontracted $47 - $344 19%
First Health Network (Coventry) $48 - $1,277 20%
Healthlink $48 - $1,126 20%
Iu Health Plans $48 - $770 20%
Phcs/Multiplan $48 - $1,352 20%
Sagamore $48 - $1,322 20%
Amish And Mennonite Of Western Ky $51 - $323 21%
Coventry National Network $63 - $1,202 26%
Webster County Detention Center $63 - $1,202 26%
Henderson County Detention Center $71 - $1,352 29%
One Care $473 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals