CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Neshoba County General Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $220
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Neshoba County General Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.90x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $338 (139%)
Insurance Median: $220 (90%)
Cash: $338 (139% of Medicare)
Ins. Median: $220 (90% 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
Tricare $27 - $198 11%
Humana $31 - $220 13%
Magnolia Mcr Adv-All Other Plans $31 - $220 13%
Molina Comm-All Other Plans $31 - $220 13%
Molina Mcr Adv $31 - $220 13%
UnitedHealthcare $31 - $794 13%
Wellcare Mcr Adv-All Plans $31 - $220 13%
Geha-All Plans $55 - $475 23%
Multiplan-All Plans $55 - $475 23%
Magnolia Mcaid $184 - $187 75%
Molina Mcaid $184 - $187 75%
Mpcn Mcaid $184 - $187 75%
Aetna $242 - $264 99%
First Choice Comm Ip/Op Only - All Plans $275 113%
Cigna $314 - $343 129%
Ahs Ip/Op Only-All Plans $387 159%
Blue Cross Blue Shield $400 164%
Affordable Health Care-All Plans $411 - $449 169%
Health Choice Ip/Op Only-All Plans $411 - $449 169%
Health Link Ip/Op Only-All Plans $411 - $449 169%
Mpcn Ip/Op Only-All Other Plans $604 - $660 248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL