CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Covenant Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $171
Cash Discount Price: $590
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Covenant Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $590. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.70x the Medicare baseline. Located in 1447 N Harrison, Saginaw, MI.

Cash / Self-Pay

$590

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $590 (242%)

Insurance Median: $171 (70%)

Cash: $590 (242% of Medicare)

Ins. Median: $171 (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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Advantage Mclaren Employee	$27 - $464	11%
Priority Health E	$27 - $388	11%
Aetna	$32 - $620	13%
Blue Cross Blue Shield	$32 - $489	13%
Health Alliance Plan Of Michigan	$32 - $470	13%
Healthy Michigan Mclaren	$32 - $171	13%
Healthy Michigan Meridian	$32 - $171	13%
Healthy Michigan Molina	$32 - $171	13%
Healthy Michigan Priority Health	$32 - $171	13%
Humana	$32 - $632	13%
Mclaren Advantage	$32 - $244	13%
Molina Healthplan	$32 - $244	13%
Physicians Health Plan	$32 - $464	13%
Physicians Health Plan Advantage/Advantage Plus	$32 - $244	13%
Priority Health	$32 - $464	13%
Mclaren Health Advantage	$40 - $379	16%
Meritain Health	$45 - $645	18%
Blue Care Network	$51 - $489	21%
Multiplan	$53 - $759	22%
Cigna	$464	190%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $590.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Covenant Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.