CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Johnson County Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $441
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Johnson County Community Hospital is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.81x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$441

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: $338 (139%)
Insurance Median: $441 (181%)
Cash: $338 (139% of Medicare)
Ins. Median: $441 (181% 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
Blue Cross Blue Shield $124 - $1,106 51%
UnitedHealthcare $137 - $1,469 56%
Optima Health $227 93%
Aetna $236 - $937 97%
Molina Healthcare $236 - $443 97%
Amerigroup $330 - $426 135%
Managed Medicaire $426 175%
Medicare (plans) $426 175%
Sentara Health $426 - $498 175%
United Mine Workers Of America $426 175%
Wellcare $426 175%
Humana $433 178%
Cigna $447 - $682 183%
Devoted Health Plan $447 183%
Nhc Advantage $447 183%
Ambetter / Centene $470 193%
Medcost $514 211%
First Health Coventry $1,102 452%
Seven Corners, Inc. $1,469 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals