CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercy Health Lakeshore Campus

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$276
about 1.1× the $244 Medicare rate · typically $115–$383
modeled estimate · not a bill or quote
What this hospital charges insurers
$357
Above the fair price
about $81 over the fair price · 1.5× Medicare
Medicare pays $244 Fair price $276 This hospital $357 Cash price $714 Hospital's list price $1,098

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $95 Priciest $357

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $276 (about 1.1× the $244 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $357, or about $714 in cash — above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $276. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $385 - $988 158%
Blue Cross Blue Shieldmajor $180 - $938 74%
Aetnamajor $274 - $874 112%
Cignamajor $953 391%
Humanamajor $983 403%
Kaiser Permanentemajor $938 385%
AmeriHealth $983 403%
CareSource $980 402%
Dean Health Plan $944 387%
GEHA $874 - $988 359%
Medical Mutual $983 403%
Molina $457 187%
MVP Health Care $944 387%
Oscar Health $337 138%
Paramount $944 387%
Priority Health $990 406%
UniCare $983 403%
+ 119 smaller / regional plans $192 - $1,008
Government programs also on file: Medicare, Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals