CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $208
Cash Discount Price: $1,233
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Munson Healthcare Manistee Hospital is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,233. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.

Cash / Self-Pay

$1,233

Average discount available for prompt cash payment at this facility.

Insurance Median

$208

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: $1,233 (506%)

Insurance Median: $208 (85%)

Cash: $1,233 (506% of Medicare)

Ins. Median: $208 (85% 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
Mclaren Health Plan	$20 - $1,088	8%
Meridian	$20 - $124	8%
Molina	$20 - $257	8%
Priority Health	$20 - $352	8%
UnitedHealthcare	$20 - $1,306	8%
Blue Cross Blue Shield	$21 - $728	9%
Aetna	$32 - $1,254	13%
Hap (Health Alliance Plan)	$32 - $1,161	13%
Humana	$32 - $238	13%
Medicare (plans)	$32 - $238	13%
Michigan Amish Medical Board	$32 - $238	13%
Northern Michigan Mennonite Group	$32 - $238	13%
Prime Health Services	$32 - $1,335	13%
Wellcare Meridian	$32 - $238	13%
Cofinity	$43 - $1,277	18%
Cigna	$44 - $352	18%
Provider Network Of America	$44 - $1,233	18%
Asr/Physicians Care	$48 - $1,161	20%
Nomi Health	$51 - $1,161	21%
Employee Benefits Logistics	$54 - $404	22%
Munson Hospice	$852 - $1,016	350%
Hospice Of Michigan	$871	357%
Enterprise Group Planning/Employee Benefits Plan	$1,161	476%
Medical Cost Savings Solution	$1,161	476%
Three Rivers Provider Network	$1,233	506%
Multiplan	$1,277	524%
Great West Healthcare	$1,306	536%

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 $1,233.
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 Munson Healthcare Manistee Hospital 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.