CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Marshfield Medical Center - Minocqua

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,645
Cash Discount Price: $1,737
vs. Medicare Baseline: 6.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Marshfield Medical Center - Minocqua is $1,645. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,737. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.75x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$1,737

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,645

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: $1,737 (713%)

Insurance Median: $1,645 (675%)

Cash: $1,737 (713% of Medicare)

Ins. Median: $1,645 (675% 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 675% of the Medicare baseline (a markup of 575%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Family Health Center (Fhc)	$914	375%
Security Health Plan (Shp)	$970 - $1,326	398%
Amish/Mennonite	$1,005	412%
Sanford Health Plan	$1,005	412%
The Alliance	$1,272 - $1,504	522%
Blue Cross Blue Shield	$1,389 - $1,609	570%
Group Health Cooperative Of Eau Claire	$1,499 - $1,645	615%
UnitedHealthcare	$1,508	619%
Besse Forest Products	$1,554	637%
Molina Healthcare Of Wi	$1,554	637%
Rice Lake School District	$1,554	637%
Wps Health Insurance	$1,618 - $1,773	664%
Medica Of Wi	$1,704 - $1,740	699%
Cigna	$1,718	705%
Healtheos By Multiplan Inc.	$1,718 - $1,737	705%
Corvel	$1,737	713%
First Health	$1,737	713%
Health Partners	$1,737	713%
Three Rivers Provider Network (Trpn)	$1,737	713%
Trilogy	$1,746 - $1,755	716%
Coventry	$1,755	720%
Health Smart	$1,755	720%
Rising Medical Work Comp	$1,773	727%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,737.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Minocqua is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.