CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Thedacare Medical Center - Shawano

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$542
about 2.2× the $244 Medicare rate · typically $201–$710
modeled estimate · not a bill or quote
What this hospital charges insurers
$520
About the fair price
about $22 under the fair price · 2.1× Medicare
Medicare pays $244 Fair price $542 This hospital $520 Cash price $901 Hospital's list price $1,609

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $520

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $542 (about 2.2× the $244 Medicare rate). Thedacare Medical Center - Shawano charges insurers about $520, or about $901 in cash — about the fair price. Located in Shawano, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $281 - $520 115%
Blue Cross Blue Shieldmajor $428 - $1,014 176%
Humanamajor $427 175%
HealthPartners $583 239%
+ 2 smaller / regional plans $998 - $1,078
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 100 County Rd B, Shawano, WI 54166
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals