CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $798
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 3.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University Hospitals Conneaut Medical Center is $798. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.27x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$798

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: $920 (377%)
Insurance Median: $798 (327%)
Cash: $920 (377% of Medicare)
Ins. Median: $798 (327% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 327% of the Medicare baseline (a markup of 227%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $380 - $834 156%
Blue Cross Blue Shield $380 - $1,227 156%
Cigna $380 - $908 156%
Devoted $380 156%
Humana $380 156%
Medical Mutual Of Ohio $380 - $1,157 156%
Molina $380 156%
Primetime Health Plan $380 156%
Summacare $380 - $626 156%
The Health Plan $380 - $810 156%
UnitedHealthcare $380 - $1,044 156%
Wellcare By Allwell $380 156%
Paramount $392 161%
Perennial Advantage Of Ohio $399 164%
Valor Health Plans $399 164%
University Health Employee Plan (Contigo) $491 201%
Amish Aid Community Plan $564 231%
Amish Church Fund And Workers Aid Plan $564 231%
Buckeye Plain Ministries $564 231%
Jp Farley $577 237%
Clarity $589 242%
Christian Healthcare Ministries $614 252%
Immergrun $614 252%
Sunrise Plan Communities $614 252%
Aultcare $675 277%
Ambetter / Centene $685 281%
Caresource $685 281%
Healthsmart $798 327%
Ohio Health Choice $798 - $1,104 327%
Medical Mutual Traditional/Health Ohio $859 352%
Beech Street $982 - $1,104 403%
Ohio Preferred Network $982 - $1,104 403%
First Health $1,018 418%
Century Health Network $1,043 428%
Private Healthcare System $1,055 433%
Configurenet $1,104 453%
Fortified Provider Network $1,104 453%
Multiplan $1,104 453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals