CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Wood County Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $433
  • Cash Discount Price: $505
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Wood County Hospital is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.78x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.
Cash / Self-Pay
$505

Average discount available for prompt cash payment at this facility.

Insurance Median
$433

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: $505 (207%)
Insurance Median: $433 (178%)
Cash: $505 (207% of Medicare)
Ins. Median: $433 (178% 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
Blue Cross Blue Shield $204 - $433 84%
Aetna $212 - $449 87%
Buckeye $212 - $361 87%
Caresource $212 - $255 87%
Humana $212 - $503 87%
Medicare (plans) $212 87%
Mmo $212 - $487 87%
Paramount $212 - $438 87%
Perennial $212 87%
Summacare $212 87%
United_Healthcare $212 - $487 87%
Medigold $217 89%
Valor $223 91%
Frontpath $371 - $438 152%
Advanced_Medical_Pricing $380 - $449 156%
Cigna $380 - $449 156%
Medben $380 - $449 156%
Occunet $380 - $449 156%
Ohio_Health_Choice $394 - $498 162%
Claimdoc $403 - $476 165%
First_Health $417 - $493 171%
Health_Ohio_Network $417 - $493 171%
Healthscope_Benefits $431 - $509 177%
Primary_Health_Services_Dca $431 - $509 177%
Multiplan $436 - $514 179%
Private_Healthcare_Systems $436 - $514 179%
Three_Rivers_Provider_Network $436 - $514 179%
Unicare $436 - $514 179%
Beech_Street $440 - $520 180%
Flora $440 - $520 180%
Npn_Medical_Resources $440 - $520 180%
Ohio_Preferred_Provider_Network $440 - $520 180%
Ohio_Health_Group $450 - $531 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 West Wooster Street, Bowling Green, OH 43402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals