CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Mercy Hospital Tishomingo Inc
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $433
- Cash Discount Price: $469
- vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercy Hospital Tishomingo Inc is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.78x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$469
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: $469 (192%)
Insurance Median: $433 (178%)
Cash: $469 (192% 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
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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 | $158 - $479 | 65% |
| Humana | $158 - $577 | 65% |
| Medicaid / KanCare | $158 - $216 | 65% |
| Ambetter / Centene | $216 | 89% |
| Home State Health Plan Contracted [320187] | $216 | 89% |
| Novasys Contracted [320285] | $216 | 89% |
| Blue Cross Blue Shield | $231 - $347 | 95% |
| Webtpa Contracted [320417] | $303 | 124% |
| Medicare (plans) | $332 - $461 | 136% |
| Cherokee Nation Health Serv Contracted [320066] | $347 | 142% |
| Cross Timbers Hospice [20098] | $347 | 142% |
| Dept Of Veteran Affairs Contracted [320106] | $347 | 142% |
| Elara Caring Aspire Hospice Contracted [320433] | $347 | 142% |
| Elara Caring Aspire Hospice [20433] | $347 | 142% |
| Halo Hcr Inc Hospice Contracted [320432] | $347 | 142% |
| Halo Hcr Inc Hospice [20432] | $347 | 142% |
| Independent Health [20197] | $347 | 142% |
| Indian Health Service Contracted [320198] | $347 | 142% |
| Kindful Hospice Contracted [320434] | $347 | 142% |
| Kindful Hospice [20434] | $347 | 142% |
| Medical Associates Health [20444] | $347 | 142% |
| Mercy Hospice Okc [20252] | $347 | 142% |
| Provider Partners Health Plans Contracted [320450] | $347 | 142% |
| Qual Choice Contracted [320325] | $347 | 142% |
| Tribute Health Plan Mcr Contracted [320338] | $347 | 142% |
| Tricare | $347 | 142% |
| UnitedHealthcare | $347 - $569 | 142% |
| Globalhealth Contracted [320145] | $354 | 145% |
| Cigna | $357 - $541 | 146% |
| Aither Health Contracted [320449] | $433 - $613 | 178% |
| Mercy Benefit Admin Contracted [320251] | $433 - $613 | 178% |
| Quik Trip Contracted [320447] | $433 | 178% |
| Show-Me Health Administrators Contracted [320483] | $433 | 178% |
| Medica Contracted [320239] | $461 | 189% |
| First Health Contracted [320128] | $479 | 196% |
| Health Choice Contracted [320166] | $483 | 198% |
| Osma Health Contracted [320292] | $505 | 207% |
| Benefit Management Contracted [320052] | $541 - $649 | 222% |
| Healthcare Highways Plus Contracted [320175] | $541 | 222% |
| Private Health Care Systems Contracted [320320] | $541 - $577 | 222% |
| United Medical Resources Contracted [320454] | $569 | 233% |
| Multiplan Contracted [320270] | $577 - $649 | 237% |
| Auxiant Contracted [320462] | $613 | 251% |
| Ebms Contracted [320493] | $613 | 251% |
| Healthlink Contracted [320179] | $613 | 251% |
| Imagine 360 Contracted [320494] | $613 | 251% |
| Preferred Community Choice Contracted [320311] | $613 | 251% |
| Reflect Health Contracted [320492] | $613 | 251% |
| Yuzu Health Contracted [320521] | $613 | 251% |