CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $516
  • Cash Discount Price: $262
  • vs. Medicare Baseline: 2.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Baptist Memorial Hospital is $516. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.12x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.
Cash / Self-Pay
$262

Average discount available for prompt cash payment at this facility.

Insurance Median
$516

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: $262 (107%)
Insurance Median: $516 (212%)
Cash: $262 (107% of Medicare)
Ins. Median: $516 (212% 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 212% of the Medicare baseline (a markup of 112%). 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.

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
Blue Cross Blue Shield $108 - $1,236 44%
Wellpoint $210 - $232 86%
Triwest $212 87%
Vaccn $221 91%
Veterans Evaluation Services $221 91%
Devoted Health $226 93%
Molina $226 - $1,030 93%
Aetna $232 - $536 95%
American Health Plan $232 95%
Humana $232 - $1,112 95%
Novasys $232 - $1,195 95%
Shared Health $232 95%
Tribute Health Plan $232 95%
Rhodes College $354 145%
Arlington Community Schools $365 150%
Bartlett City Schools $365 150%
City Of Bartlett $365 150%
City Of Lakeland $365 150%
Collierville Schools $365 150%
Eas Mssc Schools $365 150%
Lakeland School System $365 150%
Town Of Collierville $365 150%
Oscar $372 153%
Magnolia Tn $374 153%
First State Bank Trust $376 154%
Ppo Holdings $392 - $783 161%
Armstrong Relocation $398 163%
Ashley Furniture Stores $398 163%
Brimhall Foods $398 163%
Building Plastic $398 163%
Burch Food Services $398 163%
Cannon Motor Company $398 163%
Carlisle $398 163%
Crittenden County $398 163%
Davidson Hospitality $398 163%
Desoto Co Board Of Supervisors $398 163%
Dunn Investment Company $398 163%
First Choice Health Plan Of Ms $398 - $1,092 163%
First Community Bank $398 163%
French Camp Academy $398 163%
Gossett Motor Cars $398 163%
Hattiesburg Clinic $398 163%
Heartland Catfish Company $398 163%
Heavy Machines $398 163%
Hollowell Industries $398 163%
Hospitality Management Advisors $398 163%
Jas D Collier $398 163%
Malco Theaters $398 163%
Mechanical Systems $398 163%
Mid-South Transport $398 163%
Patterson Warehouses $398 163%
Radians $398 163%
Rei Nation $398 163%
Retzer Resources $398 163%
Ritchey Automotive $398 163%
Security One $398 163%
Silver Tree $398 163%
State Systems $398 163%
United Tn Holdings $398 163%
Vaughn Electric $398 163%
W G Yates $398 163%
W W Wood Products $398 163%
Watkins Uiberall $398 163%
Y K Auto Group $398 163%
Cooper Realty $412 - $824 169%
Magnolia Regional Health Center $412 - $824 169%
Access Health Services $443 - $1,236 182%
Employers Health Network $443 182%
Harding Academy $443 182%
Mpcn $443 182%
Multiplan $443 - $1,545 182%
Littler $516 - $1,030 212%
Ppo Plus $516 - $1,648 212%
Butler Snow $619 - $1,236 254%
UnitedHealthcare $619 - $1,236 254%
Qca $773 - $1,545 317%
Christian Health Aid $825 - $1,648 338%
St. Jude Children'S Hospital $928 - $1,854 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6019 Walnut Grove Road, Memphis, TN 38120
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals