CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Perham Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $383
Cash Discount Price: $494
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Perham Health is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.57x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$494

Average discount available for prompt cash payment at this facility.

Insurance Median

$383

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: $494 (203%)

Insurance Median: $383 (157%)

Cash: $494 (203% of Medicare)

Ins. Median: $383 (157% 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
Blue Cross Blue Shield	$39 - $934	16%
Health Partners Mcr Adv	$47 - $469	19%
Humana	$47 - $469	19%
Medica Mcr Adv	$47 - $469	19%
Medicare (plans)	$47 - $522	19%
Ucare Mn Senior Health Options	$47 - $469	19%
UnitedHealthcare	$49 - $1,076	20%
Medicaid / KanCare	$50 - $497	21%
Ucare Mn Medical Assistance	$50 - $497	21%
Ucare Mn Minnesota Care	$50 - $497	21%
Ucare Mn Senior Care Plus	$50 - $497	21%
Ucare Mn Special Needs Basic Care	$50 - $497	21%
Ucare Mn Special Needs Basic Care Dual	$50 - $493	21%
Medica Mcaid Mn Care	$51 - $505	21%
Medica Mn (Msho)	$57 - $569	23%
Ucare Individual And Family Plan-All Other Plans	$58 - $571	24%
Health Partners Minnesota Care	$70 - $690	29%
Medica Commercial-All Other Plans	$102 - $1,010	42%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$104 - $1,035	43%
Health Partners-All Plans	$114 - $1,132	47%
Preferred One (Ppo)	$118 - $1,173	48%
Sanford Health Plan-All Plans	$118 - $1,173	48%
Medica Mn Senior Hp/Outside Mn	$628	258%

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 $494.
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 Perham Health 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.