CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Bmh-Calhoun

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $444
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Bmh-Calhoun is $444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.82x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$444

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: $298 (122%)
Insurance Median: $444 (182%)
Cash: $298 (122% of Medicare)
Ins. Median: $444 (182% 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
Ppo Holdings $218 89%
Magnolia Regional Health Center $230 94%
Tricare $234 96%
Veterans Evaluation Services $242 99%
Molina $247 - $457 101%
Ms Breast And Cervical $247 101%
Triwest $247 101%
Vaccn $247 101%
Devoted Health $252 103%
Blue Cross Blue Shield $254 - $488 104%
Aetna $259 - $373 106%
American Health Plan $259 106%
Humana $259 - $459 106%
Primewell $259 106%
Shared Health $259 106%
Magnolia Ms $281 115%
Littler $287 118%
Cigna $316 130%
First Choice Health Plan Of Ms $370 152%
Burch Food Services $420 172%
First State Bank Trust $420 172%
Arlington Community Schools $444 182%
Armstrong Relocation $444 182%
Ashley Furniture Stores $444 182%
Bartlett City Schools $444 182%
Brimhall Foods $444 182%
Building Plastic $444 182%
Cannon Motor Company $444 182%
Carlisle $444 182%
City Of Bartlett $444 182%
City Of Lakeland $444 182%
Collierville Schools $444 182%
Crittenden County $444 182%
Davidson Hospitality $444 182%
Delta Industries $444 182%
Desoto Co Board Of Supervisors $444 182%
Dunn Investment Company $444 182%
Eas Mssc Schools $444 182%
First Community Bank $444 182%
French Camp Academy $444 182%
Gossett Motor Cars $444 182%
Hattiesburg Clinic $444 182%
Heartland Catfish Company $444 182%
Heavy Machines $444 182%
Hollowell Industries $444 182%
Hospitality Management Advisors $444 182%
Jas D Collier $444 182%
Lakeland School System $444 182%
Malco Theaters $444 182%
Mechanical Systems $444 182%
Mid-South Transport $444 182%
Minact $444 182%
Patterson Warehouses $444 182%
Radians $444 182%
Rei Nation $444 182%
Retzer Resources $444 182%
Ritchey Automotive $444 182%
Security One $444 182%
Silver Tree $444 182%
State Systems $444 182%
Town Of Collierville $444 182%
United Tn Holdings $444 182%
Vaughn Electric $444 182%
W G Yates $444 182%
W W Wood Products $444 182%
Watkins Uiberall $444 182%
Y K Auto Group $444 182%
Advanced Health Systems Inc. $459 188%
Christian Health Aid $459 188%
Ppo Plus $488 200%
Employers Health Network $494 203%
Harding Academy $494 203%
Multiplan $517 212%
Qca $517 212%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals