CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Mercy Hospital - Cassville
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $333
- Cash Discount Price: $591
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercy Hospital - Cassville is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $591. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.37x the Medicare baseline. Located in 94 Main Street, Cassville, MO.
Cash / Self-Pay
$591
Average discount available for prompt cash payment at this facility.
Insurance Median
$333
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: $591 (242%)
Insurance Median: $333 (137%)
Cash: $591 (242% of Medicare)
Ins. Median: $333 (137% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $42 - $764 | 17% |
| Dept Of Veteran Affairs Contracted [320106] | $119 - $501 | 49% |
| Tricare | $142 - $595 | 58% |
| Blue Cross Blue Shield | $144 - $1,425 | 59% |
| Medicare (plans) | $144 - $629 | 59% |
| UnitedHealthcare | $144 - $1,396 | 59% |
| Administrative Payor Contracted [320005] | $158 - $661 | 65% |
| Aetna | $158 - $1,307 | 65% |
| Humana | $158 - $1,249 | 65% |
| Centivo Contracted [320505] | $178 - $749 | 73% |
| Ambetter / Centene | $182 - $764 | 75% |
| Home State Health Plan Contracted [320187] | $182 - $764 | 75% |
| Novasys Contracted [320285] | $182 - $764 | 75% |
| Cherokee Nation Health Serv Contracted [320066] | $197 - $605 | 81% |
| Cigna | $197 - $1,396 | 81% |
| Cross Timbers Hospice [20098] | $197 - $605 | 81% |
| Elara Caring Aspire Hospice [20433] | $197 - $605 | 81% |
| Globalhealth Contracted [320145] | $197 - $605 | 81% |
| Halo Hcr Inc Hospice Contracted [320432] | $197 - $605 | 81% |
| Halo Hcr Inc Hospice [20432] | $197 - $605 | 81% |
| Indian Health Service Contracted [320198] | $197 - $605 | 81% |
| Kindful Hospice Contracted [320434] | $197 - $605 | 81% |
| Kindful Hospice [20434] | $197 - $605 | 81% |
| Medical Associates Health Contracted [320444] | $197 - $605 | 81% |
| Mercy Hospice Okc [20252] | $197 - $605 | 81% |
| Mercy Mgd Behavioral Health Contracted [320259] | $197 - $605 | 81% |
| Pace Of The Ozarks Contracted [320518] | $197 - $605 | 81% |
| Provider Partners Health Plans Contracted [320450] | $197 - $605 | 81% |
| Qual Choice Contracted [320325] | $197 - $605 | 81% |
| Healthscope Contracted [320182] | $198 - $614 | 81% |
| Healthlink Contracted [320179] | $228 - $1,322 | 94% |
| Preferred Health Plan Contracted [320522] | $228 - $955 | 94% |
| Health Systems Inc Contracted [320174] | $280 - $1,175 | 115% |
| Insurance System Inc Contracted [320465] | $280 - $1,175 | 115% |
| Point C Contracted [320238] | $280 - $1,322 | 115% |
| Point C [20238] | $280 - $1,175 | 115% |
| United Medical Resources Contracted [320454] | $280 - $1,249 | 115% |
| Workers Comp [20426] | $280 - $1,322 | 115% |
| Municipal Health Plan Contracted [320271] | $284 - $1,190 | 117% |
| Medica Contracted [320239] | $314 - $1,316 | 129% |
| 90 Degree Benefits Contracted [320436] | $315 - $1,322 | 129% |
| Aither Health Contracted [320449] | $315 - $1,322 | 129% |
| American Healthcare Alliance Contracted [320020] | $315 - $1,322 | 129% |
| Auxiant Contracted [320462] | $315 - $1,322 | 129% |
| Benefit Management Contracted [320052] | $315 - $1,322 | 129% |
| Ebms Contracted [320493] | $315 - $1,322 | 129% |
| Edison Health Solutions Contracted [320502] | $315 - $1,322 | 129% |
| Evolutions Health Care Contracted [320124] | $315 - $1,322 | 129% |
| Imagine 360 Contracted [320494] | $315 - $1,322 | 129% |
| Mercy Benefit Admin Contracted [320251] | $315 - $1,322 | 129% |
| Reflect Health Contracted [320492] | $315 - $1,322 | 129% |
| Show-Me Health Administrators Contracted [320483] | $315 - $1,322 | 129% |
| Usa Managed Care Org Contracted [320429] | $315 - $1,322 | 129% |
| Yuzu Health Contracted [320521] | $315 - $1,322 | 129% |
| First Health Contracted [320128] | $332 - $1,396 | 136% |
| Multiplan Contracted [320270] | $332 - $1,396 | 136% |
| Private Health Care Systems Contracted [320320] | $332 - $1,396 | 136% |