CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: White River Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $237
Cash Discount Price: $66
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at White River Medical Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.97x the Medicare baseline. Located in 1710 Harrison Street, Batesville, AR.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $66 (27%)

Insurance Median: $237 (97%)

Cash: $66 (27% of Medicare)

Ins. Median: $237 (97% 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.

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
Aetna	$42 - $554	17%
Arkansas Total Care	$42	17%
Summit Community Care	$42	17%
Municipal Health Benefit Fund	$48 - $353	20%
Multiplan	$60 - $441	25%
Blue Cross Blue Shield	$222 - $237	91%
Arkansas Superior Select Wrmc	$237	97%
Hmo Partners Inc Wrmc	$237	97%
Medipak Advantage Wrmc	$237	97%
UnitedHealthcare	$237	97%
Medicare (plans)	$241	99%
Cigna	$244	100%
Allwell Wrmc	$249	102%
Wellcare Wrmc	$249	102%
Ambetter / Centene	$331	136%
Qualchoice (Alliance) Wrmc	$363	149%
Provider Network Of America Wrmc	$379	155%
Vantage Health Plan Wrmc	$663	272%

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 $66.
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 White River Medical Center 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.