CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Jude Childrens Research Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $430
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at St Jude Childrens Research Hospital is $430. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.76x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$430

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%)
Insurance Median: $430 (176%)
Ins. Median: $430 (176% 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 $40 - $1,616 16%
Empower $42 17%
Blue Cross Blue Shield $117 - $448 48%
Tenncare Select Hmo $127 52%
Home State Health $199 82%
Medicaid / KanCare $204 84%
Molina Marketplace Of Ms $296 121%
Healthcare Connections La $342 140%
Health Choice - Ok $411 169%
Healthy Blue $561 230%
Vantage $1,346 - $1,503 552%
Humana $1,459 599%
Tricare $1,571 644%
Aetna $1,683 690%
Private Health Care Systems $1,795 736%
Ms Physicians Care Network $1,907 782%
Baptist Health $2,020 829%
Cigna $2,020 829%
First Health Ccn $2,020 829%
Health Choice $2,020 829%
Health Link Mississippi $2,020 829%
Healthscope Benefits Inc $2,020 829%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 262 Danny Thomas Place, Memphis, TN 38105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens