CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Henry Ford Allegiance Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $31
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Henry Ford Allegiance Health is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.13x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $43 (18%)
Insurance Median: $31 (13%)
Cash: $43 (18% of Medicare)
Ins. Median: $31 (13% 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
Blue Cross Blue Shield $20 - $1,226 8%
Mclaren Health Plan Inc. $20 - $30 8%
Meridian $20 8%
Aetna $21 - $390 9%
Priority $21 - $30 9%
Molina $22 - $140 9%
Hap $26 - $906 11%
Bcn $30 - $244 12%
Cca Health Mi $30 12%
Health Alliance Plan Of Michigan $30 12%
Humana $30 - $249 12%
Thomas Pace $30 - $244 12%
Vaccn $31 13%
United Behavioral Health, Inc. $32 13%
Vitalcore Physicians Group Of Mi $39 - $545 16%
Cofinity $44 18%
Cigna $49 - $1,304 20%
Hap Caresource $72 - $244 30%
Mclaren $72 30%
Meridian Health Plan Of Mi $72 - $330 30%
Priority Health $72 - $574 30%
Frontpath $99 - $1,316 41%
Veterans Evaluation Services $212 87%
Molina Mi Health Link $222 91%
UnitedHealthcare $222 - $1,082 91%
Cca Health Michigan $244 100%
Mclaren Health $244 - $734 100%
Jackson County Offiice Of The Sheriff $760 312%
Immergrun Inc $877 360%
University Of Michigan $1,023 420%
Cofinity Group Health $1,316 540%
Multiplan, Inc. $1,316 540%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals