CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Crossgates River Oaks Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $231
  • Cash Discount Price: $391
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Crossgates River Oaks Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $391. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.95x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$391

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $391 (160%)
Insurance Median: $231 (95%)
Cash: $391 (160% of Medicare)
Ins. Median: $231 (95% 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
UnitedHealthcare $23 - $1,374 9%
Medicaid / KanCare $31 - $722 13%
Cigna $42 - $3,316 17%
Self Pay $57 - $1,326 23%
Trimed Billing Solutions $61 - $1,421 25%
Ms State Hospital Of Whitfield $78 - $1,800 32%
First Choice Standard $94 - $2,179 39%
First Choice Coventry $106 - $2,463 43%
First Choice Mpcn Standard $112 - $2,605 46%
First Choice Ppo Plus $112 - $2,605 46%
Phcs $123 - $2,842 50%
Aetna $143 - $3,316 59%
Benefit Management Systems $147 - $4,026 60%
First Choice Stratose $163 - $3,790 67%
Prime Health Services $163 - $3,790 67%
American Health Group $174 - $4,026 71%
Beech Street $174 - $4,026 71%
Ibew $174 - $4,026 71%
One Health Plan $184 - $4,263 75%
Magnolia Mcd Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Ms Dept Of Rehabilitation Services $204 - $4,737 84%
Veterans Eval Services $204 - $206 84%
Tricare $205 84%
Node Champva $215 88%
Humana $227 93%
Medicare (plans) $227 93%
Node First Choice Shared Health Of Ms Mcr Adv $227 93%
Node Vantage Health Mcr Adv $227 93%
Node Windsor Mcr Adv $227 93%
Node Magnolia Mcr Adv $229 94%
Node Hospice Non Par Agree $231 95%
Node Va $231 95%
Molina $232 95%
Node Devoted Health Mcr Adv $232 95%
Node First Choice American Health Of Ms Mcr Adv $232 95%
Node First Choice Wellcare Mcr Adv $235 96%
Node Healthy Mississippi Mcr Adv $254 104%
Ms Work Comp $276 113%
Prime Health Wc $276 113%
Node Us Dept Of Labor $288 118%
First Choice Preferred $346 142%
Node First Choice Occunet $346 142%
Molina Exchange $362 149%
Node Magnolia Exchange $404 166%
Advanced Health Systems $486 199%
First Choice Lgp $503 206%
Vantage Health Commercial $519 213%
Blue Cross Blue Shield $625 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals