CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Mercy Hospital Logan County
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $879
- Cash Discount Price: $960
- vs. Medicare Baseline: 3.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercy Hospital Logan County is $879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $960. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.61x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$960
Average discount available for prompt cash payment at this facility.
Insurance Median
$879
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: $960 (394%)
Insurance Median: $879 (361%)
Cash: $960 (394% of Medicare)
Ins. Median: $879 (361% 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 361% of the Medicare baseline (a markup of 261%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 - $873 | 65% |
| Humana | $158 - $1,190 | 65% |
| Medicaid / KanCare | $158 - $446 | 65% |
| Tricare | $363 - $369 | 149% |
| Blue Cross Blue Shield | $374 - $789 | 153% |
| Cherokee Nation Health Serv Contracted [320066] | $374 - $380 | 153% |
| Cross Timbers Hospice [20098] | $374 - $380 | 153% |
| Dept Of Veteran Affairs Contracted [320106] | $374 - $380 | 153% |
| Elara Caring Aspire Hospice Contracted [320433] | $374 - $380 | 153% |
| Elara Caring Aspire Hospice [20433] | $374 - $380 | 153% |
| Halo Hcr Inc Hospice Contracted [320432] | $374 - $380 | 153% |
| Halo Hcr Inc Hospice [20432] | $374 - $380 | 153% |
| Independent Health [20197] | $374 - $380 | 153% |
| Indian Health Service Contracted [320198] | $374 - $380 | 153% |
| Kindful Hospice Contracted [320434] | $374 - $380 | 153% |
| Kindful Hospice [20434] | $374 - $380 | 153% |
| Medical Associates Health [20444] | $374 - $380 | 153% |
| Medicare (plans) | $374 - $744 | 153% |
| Mercy Hospice Okc [20252] | $374 - $380 | 153% |
| Provider Partners Health Plans Contracted [320450] | $374 - $380 | 153% |
| Qual Choice Contracted [320325] | $374 - $380 | 153% |
| Tribute Health Plan Mcr Contracted [320338] | $374 - $380 | 153% |
| UnitedHealthcare | $374 - $1,042 | 153% |
| Globalhealth Contracted [320145] | $381 - $387 | 156% |
| Cigna | $385 - $1,265 | 158% |
| Ambetter / Centene | $440 - $446 | 180% |
| Home State Health Plan Contracted [320187] | $440 - $446 | 180% |
| Novasys Contracted [320285] | $440 - $446 | 180% |
| Health Choice Contracted [320166] | $483 | 198% |
| Webtpa Contracted [320417] | $615 - $625 | 252% |
| Medica Contracted [320239] | $732 - $744 | 300% |
| Community Care Contracted [320080] | $791 | 324% |
| Aither Health Contracted [320449] | $879 - $1,265 | 361% |
| Auxiant Contracted [320462] | $879 - $1,265 | 361% |
| Federal Medical Center Contracted [320127] | $879 - $893 | 361% |
| Healthlink Contracted [320179] | $879 - $1,265 | 361% |
| Healthscope Contracted [320182] | $879 - $893 | 361% |
| Mercy Benefit Admin Contracted [320251] | $879 - $1,265 | 361% |
| Point C Contracted [320238] | $879 - $893 | 361% |
| Preferred Health Plan Contracted [320522] | $879 - $893 | 361% |
| Quik Trip Contracted [320447] | $879 - $893 | 361% |
| Show-Me Health Administrators Contracted [320483] | $879 - $893 | 361% |
| United Medical Resources Contracted [320454] | $879 - $1,042 | 361% |
| Osma Health Contracted [320292] | $1,026 - $1,042 | 421% |
| United Behavioral Health Contracted [320390] | $1,026 - $1,042 | 421% |
| Benefit Management Contracted [320052] | $1,099 - $1,339 | 451% |
| Globalhealth Contracted [320144] | $1,099 - $1,116 | 451% |
| Healthcare Highways Plus Contracted [320175] | $1,099 - $1,116 | 451% |
| Private Health Care Systems Contracted [320320] | $1,099 - $1,190 | 451% |
| First Health Contracted [320128] | $1,146 - $1,164 | 470% |
| Multiplan Contracted [320270] | $1,172 - $1,339 | 481% |
| Ebms Contracted [320493] | $1,245 - $1,265 | 511% |
| Imagine 360 Contracted [320494] | $1,245 - $1,265 | 511% |
| Preferred Community Choice Contracted [320311] | $1,245 - $1,265 | 511% |
| Reflect Health Contracted [320492] | $1,245 - $1,265 | 511% |
| Yuzu Health Contracted [320521] | $1,245 - $1,265 | 511% |