CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercy Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $179
Cash Discount Price: $820
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercy Medical Center is $179. 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 1320 Mercy Drive Nw, Canton, OH.

Cash / Self-Pay

$820

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

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: $179 (73%)

Cash: $820 (336% of Medicare)

Ins. Median: $179 (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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $829	12%
Cigna	$30 - $657	12%
Humana	$30 - $223	12%
The Health Plan	$30 - $1,261	12%
United	$30 - $772	12%
Mmo	$31 - $1,060	13%
Communicare	$32 - $235	13%
Perennial Health	$33 - $241	14%
Phphi	$34 - $908	14%
Zing Health	$34 - $246	14%
Aultcare	$35 - $517	14%
Gms	$40 - $1,060	16%
Immergrun	$43 - $1,136	18%
Multiplan	$51 - $1,363	21%
Oscar	$68 - $485	28%
Buckeye	$125 - $157	51%
Caresource	$125 - $154	51%
Molina	$128 - $165	53%
Amerihealth	$134 - $165	55%
Cc Ehp	$503 - $511	206%
Amish Community Aid Plan	$567 - $630	233%
Ohio Healthy	$681	279%
Php	$757	311%
Medical Benefit Corp	$883	362%
Consociate Health	$946	388%
Frontpath	$1,135	466%
Managed Care Services	$1,135	466%
Tertiary Care Network	$1,135	466%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $820.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.