CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $35
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Wyandotte Hospital and Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.14x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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%)
Insurance Median: $35 (14%)
Ins. Median: $35 (14% 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
Aetna $20 - $565 8%
Amerihealth Michigan $20 - $232 8%
Mclaren Health Plan Inc. $20 - $32 8%
Meridian $20 - $32 8%
Priority $21 - $32 9%
Molina $22 - $320 9%
Hap $27 - $838 11%
Humana $31 - $242 13%
Pace Se Mi $31 13%
Bcn $32 - $237 13%
Blue Cross Blue Shield $32 - $661 13%
Cca Health Mi $32 13%
Health Alliance Plan Of Michigan $32 13%
Mount Carmel Health Plan $32 - $237 13%
United Behavioral Health, Inc. $32 13%
UnitedHealthcare $32 - $769 13%
Wellcare Ma $32 13%
Cofinity $36 15%
Vitalcore Physicians Group Of Mi $42 - $545 17%
Cigna $49 - $839 20%
Mclaren $78 32%
Meridian Health Plan Of Mi $78 - $300 32%
Priority Health $78 - $574 32%
Pace Of Se Mi $225 92%
Cca Health Michigan $237 97%
Erickson $237 97%
Hap Caresource $237 97%
Mclaren Health $237 - $528 97%
Molina Mi Health Link $237 97%
Wellcare $239 98%
Cofinity Group Health $379 - $536 155%
Multiplan, Inc. $798 - $833 327%
University Of Michigan $953 - $995 391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals