CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$165

about 0.7× the $244 Medicare rate · typically $80–$843

modeled estimate · not a bill or quote

What this hospital charges insurers

$158

About the fair price

about $7 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $165 This hospital $158 Cash price $469 Hospital's list price $721

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 2 of 8 other OK hospitals charge more for the same procedure.

Cheapest $123 Priciest $166

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $165 (about 0.7× the $244 Medicare rate). Mercy Hospital Tishomingo Inc charges insurers about $158, or about $469 in cash — about the fair price. Located in Tishomingo, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$347 - $569	142%
Blue Cross Blue Shieldmajor	$231 - $347	95%
Aetnamajor	$158 - $479	65%
Cignamajor	$357 - $541	146%
Humanamajor	$158 - $577	65%
Ambetter (Centene)	$216	89%
Healthcare Highways	$541	222%
HealthLink	$613	251%
Independent Health	$347	142%
Medica	$461	189%
+ 31 smaller / regional plans	$216 - $649

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 469), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Tishomingo Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Tishomingo Inc

Compare: Ultrasound, leg veins (duplex) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.