CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Mississippi Med Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $463
Cash Discount Price: $260
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Mississippi Med Center is $463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.90x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$260

Average discount available for prompt cash payment at this facility.

Insurance Median

$463

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: $260 (107%)

Insurance Median: $463 (190%)

Cash: $260 (107% of Medicare)

Ins. Median: $463 (190% 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
Ms-Can-Molina	$190	78%
Ms-Can-Magnolia	$192	79%
Ms-Can-Truecare	$193	79%
Medicare (plans)	$215	88%
Tricare	$215	88%
Va_Ccn	$215	88%
Medadv_Primewell	$222	91%
Medadv_Uhc	$222	91%
Medadv_Uhcdsnp	$222	91%
Wellcare	$222	91%
Humana	$224	92%
Cigna	$377	155%
Molina-Chip	$405	166%
Magnolia-Chip	$414	170%
Truecare-Chip	$414	170%
Molina_Exchange	$463	190%
United	$485	199%
Advhealth	$486	199%
United-Options	$488	200%
Ppoplus	$507	208%
Mpcn	$509	209%
Firsthealth	$520	213%
Multiplan	$520	213%
Firstchoice	$539	221%
Firstchoice-Hum	$539	221%
Ambetter / Centene	$543	223%
Aetna	$552	226%
Healthlink_Tupelo	$552	226%
Phcs	$585	240%
Primewell	$599	246%
Blue Cross Blue Shield	$650	267%

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 $260.
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 University of Mississippi Med Center 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.