CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Parkland Health Center - Bonne Terre

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,815
  • Cash Discount Price: $1,658
  • vs. Medicare Baseline: 7.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Parkland Health Center - Bonne Terre is $1,815. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,658. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.45x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.
Cash / Self-Pay
$1,658

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,815

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: $1,658 (680%)
Insurance Median: $1,815 (745%)
Cash: $1,658 (680% of Medicare)
Ins. Median: $1,815 (745% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 745% of the Medicare baseline (a markup of 645%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $248 - $2,072 102%
Blue Cross Blue Shield $248 - $2,420 102%
Cigna $248 - $2,210 102%
Cox Health [757] $248 102%
Devoted Health Plan [847] $248 102%
Essence Healthcare [221] $248 102%
Humana $248 - $1,837 102%
Medica [662] $248 102%
Medicare (plans) $248 102%
Consociate [478] $450 185%
Sarah Bush Lincoln [636] $450 185%
Healthlink [225] $1,340 - $2,086 550%
Cox Health Systems Insurance Company [220] $1,520 - $1,796 624%
Health Alliance [224] $1,520 624%
Allied Benefits [498] $1,603 - $2,053 658%
Hope Trust [806] $1,603 658%
Coresource [497] $1,666 683%
Fmh Benefit Service Inc [222] $1,666 683%
Mail Handlers [495] $1,666 683%
Healthscope Benefits [258] $1,796 - $1,868 737%
Med-Pay [480] $1,796 - $2,072 737%
Unicare [568] $1,796 - $2,086 737%
UnitedHealthcare $1,868 - $2,053 766%
Apwu Health Plan [216] $1,940 796%
Nalc Health Benefit Plan [242] $1,940 796%
Priority Health [648] $1,940 796%
First Health Commercial [734] $2,053 842%
Beechstreet [551] $2,072 850%
Detego Health [868] $2,072 850%
Health Systems Inc [620] $2,072 850%
Healthcare Sol Mercy [609] $2,072 850%
Multiplan Commercial [737] $2,072 850%
Multiplan [240] $2,072 850%
Phcs [244] $2,072 - $2,210 850%
Preferred Health Professionals [561] $2,086 856%
Hfn [563] $2,210 907%
Medica [661] $2,210 907%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7245 Raider Road, Bonne Terre, MO 63628
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital