CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercy Hospital Southeast

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $382
  • Cash Discount Price: $1,234
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercy Hospital Southeast is $382. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,234. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.57x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$1,234

Average discount available for prompt cash payment at this facility.

Insurance Median
$382

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: $1,234 (506%)
Insurance Median: $382 (157%)
Cash: $1,234 (506% of Medicare)
Ins. Median: $382 (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.

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
Aetna $123 - $1,215 50%
Medicaid / KanCare $123 - $371 50%
Imagine 360 Contracted [320494] $153 63%
Blue Cross Blue Shield $227 - $1,804 93%
Cross Timbers Hospice [20098] $227 93%
Dept Of Veteran Affairs Contracted [320106] $227 93%
Elara Caring Aspire Hospice Contracted [320433] $227 93%
Elara Caring Aspire Hospice [20433] $227 93%
Halo Hcr Inc Hospice Contracted [320432] $227 93%
Halo Hcr Inc Hospice [20432] $227 93%
Humana $227 - $1,614 93%
Kindful Hospice Contracted [320434] $227 93%
Kindful Hospice [20434] $227 93%
Medicare (plans) $227 - $239 93%
Mercy Hospice Okc [20252] $227 93%
Pace Of The Ozarks Contracted [320518] $227 93%
Tricare $227 93%
Ambetter / Centene $231 95%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $231 95%
Home State Health Plan Contracted [320187] $231 95%
Hope Trust Contracted [320488] $231 95%
UnitedHealthcare $231 - $1,559 95%
Provider Partners Health Plans Contracted [320450] $261 107%
Consociate Consolidated Health Contracted [320490] $318 - $511 130%
Auxiant Contracted [320462] $382 - $454 157%
Centivo Contracted [320505] $382 157%
Ebms Contracted [320493] $382 157%
Healthlink Contracted [320179] $382 - $1,481 157%
Mercy Benefit Admin Contracted [320251] $382 - $1,291 157%
Reflect Health Contracted [320492] $396 162%
Preferred Health Plan Contracted [320522] $405 166%
Cigna $845 347%
First Health Contracted [320128] $1,215 498%
Health Alliance Contracted [320164] $1,234 506%
Aither Health Contracted [320449] $1,291 530%
Edison Health Solutions Contracted [320502] $1,291 530%
Mercy Benefit Admin [20251] $1,291 530%
Yuzu Health Contracted [320521] $1,291 530%
Workers Comp [20426] $1,424 - $1,519 584%
Multiplan Contracted [320270] $1,519 623%
Private Health Care Systems Contracted [320320] $1,519 623%
United Medical Resources Contracted [320454] $1,559 640%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals