CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mississippi Methodist Rehab Ctr

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $316
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mississippi Methodist Rehab Ctr is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.30x the Medicare baseline. Located in 1350 E Woodrow Wilson Dr, Jackson, MS.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$316

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: $226 (93%)
Insurance Median: $316 (130%)
Cash: $226 (93% of Medicare)
Ins. Median: $316 (130% 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
American Hlth Adv Mcr - All Plans $212 87%
Humana $212 87%
Molina Marketplace - All Other Plans $212 87%
Molina Mcr Adv $212 87%
Shared Health Dsnp - All Plans $212 87%
UnitedHealthcare $212 - $578 87%
Va Ccn - All Plans $212 87%
Wellcare Mcr Adv - All Plans $212 87%
Cigna $216 - $604 89%
Blue Cross Blue Shield $315 - $394 129%
First Choice - All Plans $317 130%
Magnolia Mcaid - All Plans $325 - $525 133%
Molina Mcaid/Chip $325 133%
Mpcn - All Plans $420 172%
Ambetter / Centene $761 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 E Woodrow Wilson Dr, Jackson, MS 39216
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals