CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mosaic Life Care at St Joseph

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $258
Cash Discount Price: $1,148
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mosaic Life Care at St Joseph is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,148. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.06x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$1,148

Average discount available for prompt cash payment at this facility.

Insurance Median

$258

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: $1,148 (471%)

Insurance Median: $258 (106%)

Cash: $1,148 (471% of Medicare)

Ins. Median: $258 (106% 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
Amerigroup Of Iowa	$36 - $179	15%
Blue Cross Blue Shield	$36 - $1,172	15%
Iowa Total Care	$36 - $179	15%
Molina Of Iowa	$36 - $179	15%
Aetna	$38 - $1,116	16%
Medicaid / KanCare	$38 - $198	16%
UnitedHealthcare	$38 - $1,904	16%
Multiplan	$119 - $1,215	49%
Centurion	$234 - $945	96%
Geha Shared Services	$272 - $1,096	112%
Freedom Select Healthlink	$288 - $1,159	118%
Healthlink Open Access	$288 - $1,159	118%
Preferred Health Professional	$288 - $1,159	118%
Sisco	$288 - $1,159	118%
Cigna	$295 - $1,188	121%
Ambetter / Centene	$299 - $463	123%
Home State Of Missouri	$1,958	803%
Healthy Blue Of Missouri	$2,403	986%

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 $1,148.
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 Mosaic Life Care at St Joseph 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.