CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Trinity Health Oakland Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$169
about 0.7× the $244 Medicare rate · typically $80–$300
modeled estimate · not a bill or quote
What this hospital charges insurers
$545
Well above the fair price
about $376 over the fair price · 2.2× Medicare
Medicare pays $244 Fair price $169 This hospital $545 Cash price $1,178 Hospital's list price $1,813

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $95 Priciest $545

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $169 (about 0.7× the $244 Medicare rate). Trinity Health Oakland Hospital charges insurers about $545, or about $1,178 in cash — well above the fair price. Located in Pontiac, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $169. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $245 - $1,360 101%
Blue Cross Blue Shieldmajor $133 - $551 55%
Aetnamajor $233 - $1,367 96%
Cignamajor $1,344 551%
Humanamajor $1,331 546%
Kaiser Permanentemajor $551 226%
AmeriHealth $1,331 546%
CareSource $545 224%
Dean Health Plan $1,233 506%
GEHA $1,135 - $1,360 466%
Health Net $1,813 744%
HealthPartners $1,320 541%
MagnaCare $1,331 546%
Medical Mutual $1,135 466%
Molina $309 127%
MVP Health Care $1,233 506%
Paramount $1,233 506%
Priority Health $353 - $392 145%
Tufts Health Plan $1,320 541%
UniCare $1,331 546%
+ 136 smaller / regional plans $238 - $1,813
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals