CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Michigan Health System

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $263
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Michigan Health System is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.08x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$263

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: $425 (174%)
Insurance Median: $263 (108%)
Cash: $425 (174% of Medicare)
Ins. Median: $263 (108% 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 $20 - $1,264 8%
Ambetter / Centene $20 - $118 8%
Blue Cross Blue Shield $20 - $1,169 8%
Buckeye Community Health Plan $20 - $118 8%
Hap Midwest $20 - $118 8%
Mclaren Health Plan Inc $20 - $1,150 8%
Medicaid / KanCare $20 - $958 8%
Molina Healthcare Of Michigan Inc $20 - $155 8%
Priority Health $20 - $1,915 8%
UnitedHealthcare $20 - $1,398 8%
Amerihealth Michigan Inc $22 - $121 9%
Huron Valley Pace $26 - $144 11%
Blue Care Network Of Michigan $27 - $1,169 11%
Health Alliance Plan $27 - $152 11%
Humana $27 - $152 11%
Medigold Trinity Health Plan Of Michigan $27 - $152 11%
Meridian Health Plan Of Michigan Inc $27 - $152 11%
Paramount Elite-Ohio $27 - $152 11%
Paramount Health Care $27 - $1,589 11%
Thome Pace $27 - $152 11%
Triwest $27 - $152 11%
Veteran Affairs Community Care Program $27 - $152 11%
Medicare (plans) $28 - $154 11%
Zing Health $29 - $159 12%
Employee Benefit Logistic $47 - $258 19%
Point Comfort Underwriters Unaccompanied Children Program $116 - $823 48%
Priority Health [1038] $124 - $1,283 51%
Metrocare $127 - $900 52%
Hap [1023] $148 - $1,436 61%
Plain Church Group $162 - $1,149 66%
First Health $176 - $1,398 72%
Cofinity $178 - $1,264 73%
Confinity Advantage $178 - $1,264 73%
Beaumont Health Network $189 - $1,340 78%
Nomi Health $189 - $1,340 78%
Provider Network Of America $189 - $1,340 78%
First Agency $202 - $1,436 83%
Parkview Health Plan Services $202 - $1,436 83%
Bronson Healthcare Group $230 - $1,628 94%
Multiplan $230 - $1,628 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals