CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $453
  • Cash Discount Price: $780
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ohiohealth Morrow County Hospital is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $780. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.86x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$780

Average discount available for prompt cash payment at this facility.

Insurance Median
$453

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: $780 (320%)
Insurance Median: $453 (186%)
Cash: $780 (320% of Medicare)
Ins. Median: $453 (186% 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
Medicaid / KanCare $185 - $188 76%
UnitedHealthcare $185 - $983 76%
Blue Cross Blue Shield $186 - $927 76%
Amerihealth Caritas - All Plans $190 78%
Humana $190 - $1,117 78%
Molina Exchange - All Other Plans $305 125%
Medicare (plans) $444 - $453 182%
Aetna $453 - $1,033 186%
Caresource Marketplace - All Other Plans $555 228%
Medical Mutual Of Ohio Marketplace $900 369%
Ohiohealthy Network - All Other Plans $900 369%
Ohiohealthy Preferred $900 369%
Medical Mutual Of Ohio Comm - All Other Plans $972 399%
Medical Mutual Of Ohio - Admin Serv $1,021 419%
Phcs - All Plans $1,105 453%
Cigna $1,129 463%
Multiplan - All Plans $1,141 468%
Healthstar Comm - All Plans $1,153 473%
Beech Street - All Plans $1,165 478%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals