CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Dallas County Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $632
Cash Discount Price: $853
vs. Medicare Baseline: 2.59x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Dallas County Hospital is $632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $853. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.59x the Medicare baseline. Located in 610 Tenth Street, Perry, IA.

Cash / Self-Pay

$853

Average discount available for prompt cash payment at this facility.

Insurance Median

$632

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: $853 (350%)

Insurance Median: $632 (259%)

Cash: $853 (350% of Medicare)

Ins. Median: $632 (259% 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 259% of the Medicare baseline (a markup of 159%). 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
Medicare (plans)	$165 - $632	68%
Aetna	$550 - $632	226%
Humana	$550 - $632	226%
UnitedHealthcare	$561 - $1,193	230%
Amerigroup Wellpoint	$622 - $716	255%
Iowa Total Care Mcd Adv (Active 7/1/19)	$622 - $716	255%
Medicaid / KanCare	$622 - $716	255%
Molina Healthcare Of Iowa Mcd Rep	$622 - $716	255%

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 $853.
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 Dallas County Hospital 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.