CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Union Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $177
  • Cash Discount Price: $820
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Union Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.73x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$820

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $820 (336%)
Insurance Median: $177 (73%)
Cash: $820 (336% of Medicare)
Ins. Median: $177 (73% 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
Summacare $20 - $1,060 8%
Ohcp $22 - $613 9%
Omas $28 - $757 11%
Aetna $30 - $1,514 12%
Blue Cross Blue Shield $30 - $672 12%
Cigna $30 - $567 12%
Humana $30 - $223 12%
The Health Plan $30 - $1,084 12%
United $30 - $623 12%
Valor $30 - $223 12%
Healthsmart $31 - $833 13%
Mmo $31 - $1,060 13%
Aultcare $32 - $567 13%
Communicare $32 - $235 13%
Perennial Health $33 - $241 14%
Pphp $33 - $246 14%
Cc Ehp $34 - $941 14%
Phphi $34 - $908 14%
Upmc $34 - $908 14%
Zing Health $34 - $246 14%
Gms $40 - $1,060 16%
Consociate Health $43 - $1,136 18%
Multiplan $51 - $1,363 21%
Oscar $68 - $485 28%
Buckeye $132 - $150 54%
Caresource $132 - $157 54%
Molina $138 - $150 57%
Amerihealth $145 - $165 59%
UnitedHealthcare $212 - $223 87%
Devoted Health $223 91%
Amish Community Aid Plan $567 - $630 233%
Ohio Healthy $681 279%
Php $757 311%
Medical Benefit Corp $883 362%
Frontpath $1,135 466%
Managed Care Services $1,135 466%
Tertiary Care Network $1,135 466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals