CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $238
  • Cash Discount Price: $949
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Munson Healthcare Grayling Hospital is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $949. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$949

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $949 (389%)
Insurance Median: $238 (98%)
Cash: $949 (389% of Medicare)
Ins. Median: $238 (98% 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
Mclaren Health Plan $20 - $685 8%
Meridian $20 - $124 8%
Molina $20 - $257 8%
Priority Health $20 - $352 8%
UnitedHealthcare $20 - $736 8%
Blue Cross Blue Shield $21 - $656 9%
Aetna $32 - $929 13%
Atrium King Centre Skilled Nursing Services $32 - $238 13%
Blue Care Network $32 - $238 13%
Hap (Health Alliance Plan) $32 - $981 13%
Humana $32 - $238 13%
Medicare (plans) $32 - $238 13%
Northern Michigan Mennonite Group $32 - $238 13%
Promedica $32 - $238 13%
Wellcare (Meridian) $32 - $238 13%
Wellspring Lutheran Services Skilling Nursing Services $32 - $238 13%
Michigan Amish Medical Board $36 - $238 15%
Cofinity $43 - $956 18%
Cigna $44 - $352 18%
Provider Network Of America Group Health $44 - $1,042 18%
Asr/Physicians Care $48 - $981 20%
Nomi Health $51 - $981 21%
Employee Benefits Logistics $54 - $404 22%
Hospice Of Michigan $604 - $736 248%
Munson Hospice $705 - $858 289%
Medical Cost Savings Solution $806 - $981 331%
The Robbins Group And Regency Employee Benefits $806 - $981 331%
Wds Enterprise Group Planning $806 - $981 331%
First Health/Coventry Network $856 - $1,042 351%
Three Rivers Provider Network $856 - $1,042 351%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals