CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $195
  • Cash Discount Price: $1,077
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Munson Healthcare Cadillac Hospital is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,077. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.80x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$1,077

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $1,077 (442%)
Insurance Median: $195 (80%)
Cash: $1,077 (442% of Medicare)
Ins. Median: $195 (80% 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 - $797 8%
Meridian $20 - $124 8%
Molina $20 - $257 8%
Priority Health $20 - $352 8%
UnitedHealthcare $20 - $786 8%
Blue Cross Blue Shield $21 - $602 9%
American Health Associates $32 - $238 13%
Autumnwood Of Mcbain Skilled Nursing $32 - $238 13%
Blue Care Network $32 - $238 13%
Hap (Health Alliance Plan) $32 - $1,014 13%
Humana $32 - $238 13%
Medicare (plans) $32 - $238 13%
Michigan Amish Medical Board $32 - $238 13%
Promedica $32 - $238 13%
Samaritas Senior Living Skilled Nursing $32 - $238 13%
Wellcare (Meridian) $32 - $238 13%
Aetna $43 - $963 18%
Cofinity $43 - $988 18%
Cigna $44 - $352 18%
Provider Network Of America Group Health $44 - $1,077 18%
Asr/Physicians Care $48 - $1,014 20%
Employee Benefits Logistics $54 - $404 22%
Hospice Of Michigan $760 312%
Munson Hospice $852 - $887 350%
Enterprise Group Planning/Employee Benefit Plan $1,014 416%
Medical Cost Savings Solution $1,014 416%
Nomi Health $1,014 416%
Robbing Group And Regency Employee Benefits $1,014 416%
First Health/Coventry Network $1,077 442%
Three Rivers Provider Network $1,077 442%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals