CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercy Health Saint Mary's

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.4× the $244 Medicare rate · typically $61–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$136
Above the fair price
about $39 over the fair price · 0.6× Medicare
Medicare pays $244 Fair price $97 This hospital $136 Hospital's list price $438

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MI hospitals compared.

Cheapest $95 Priciest $171

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 $97 (about 0.4× the $244 Medicare rate). Mercy Health Saint Mary's charges insurers about $136 — above the fair price. Located in Grand Rapids, 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 $97. 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 $20 - $1,098 8%
Blue Cross Blue Shieldmajor $20 - $589 8%
Aetnamajor $20 - $870 8%
Cignamajor $20 - $801 8%
Humanamajor $20 - $1,098 8%
Kaiser Permanentemajor $589 242%
Ambetter (Centene) $20 - $117 8%
AmeriHealth $47 - $836 19%
CareSource $717 294%
Clover Health $31 - $167 13%
Dean Health Plan $43 - $802 18%
GEHA $42 - $834 17%
Health Net $20 - $263 8%
HealthPartners $20 - $266 8%
MagnaCare $47 - $277 19%
Medical Mutual $47 - $690 19%
Meridian $20 - $167 8%
Molina $20 - $309 8%
MVP Health Care $43 - $802 18%
Oscar Health $43 - $304 18%
Paramount $20 - $802 8%
Presbyterian $20 - $167 8%
Priority Health $48 - $559 20%
Tufts Health Plan $20 - $266 8%
UniCare $47 - $836 19%
WellMed $31 - $167 13%
WellSense $20 - $117 8%
+ 429 smaller / regional plans $20 - $1,098
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 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: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals