CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Henry Ford Health Warren Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $249
  • Cash Discount Price: $378
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Henry Ford Health Warren Hospital is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$378

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $378 (155%)
Insurance Median: $249 (102%)
Cash: $378 (155% of Medicare)
Ins. Median: $249 (102% 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
Meridian Health Plan $81 33%
Phcs Pos $221 91%
Phcs Ppo $221 91%
Medicare (plans) $225 - $249 92%
Amerihealth Vip Care $234 96%
Aetna $237 97%
Harbor Advantage Hmo $237 97%
Tricare $237 97%
Veterans Choice $237 97%
Humana $239 98%
Total Health Care $239 98%
Meridian Wellcare $249 102%
Molina Advantage $249 102%
Molina Health Link $249 102%
Ahlic $251 103%
Hap Hmo $251 103%
Hap Preferred $251 103%
Ppom $282 116%
Ambetter / Centene $296 121%
Molina Market Place $296 121%
Smarthealth $332 136%
Aaa-Auto Insurance $450 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals