CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Maury Regional Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $228
  • Cash Discount Price: $544
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Maury Regional Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $544. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$544

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $544 (223%)
Insurance Median: $228 (94%)
Cash: $544 (223% of Medicare)
Ins. Median: $228 (94% 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
UnitedHealthcare $76 - $228 31%
Blue Cross Blue Shield $146 - $666 60%
Wellpoint $193 - $285 79%
Wellpoint Tci $193 79%
Humana $196 - $228 80%
Cigna $215 - $1,436 88%
Farm Bureau Health Plans $215 - $228 88%
Medicare (plans) $215 - $228 88%
Aetna $221 - $1,042 91%
American Health Plans $221 - $228 91%
Nhc $221 - $235 91%
Wellcare Harmony Health $221 - $235 91%
Medrisk $320 131%
State Of Tennessee $320 131%
Ambetter / Centene $400 - $539 164%
Oscar $547 - $582 224%
Wayne County Jail $579 238%
Lawrence County Jail $868 356%
Lewis County Jail $868 356%
Marshall County Jail $868 356%
Beech Street $926 380%
Multiplan $926 380%
Phcs $926 380%
Firsthealth $1,112 456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals