Ultrasound, leg veins (duplex)
Facility: Saint John Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $233
- Cash Discount Price: $224
- vs. Medicare Baseline: 0.96x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $79 | 32% |
| UnitedHealthcare | $79 - $315 | 32% |
| Healthy Blue | $81 - $236 | 33% |
| Celtic | $81 - $360 | 33% |
| Tricare | $225 | 92% |
| Medicare (plans) | $225 | 92% |
| Midland Care Connection | $225 | 92% |
| Aetna | $225 - $301 | 92% |
| Cigna | $225 | 92% |
| Blue Cross Blue Shield | $228 - $481 | 94% |
| Kansas Superior Select | $229 | 94% |
| Well Path | $315 | 129% |
| Corizon | $315 | 129% |
| Employer Direct Healthcare | $315 | 129% |
| Oha Networks | $332 | 136% |
| Centurion | $337 | 138% |
| Worker Compensation | $343 | 141% |
| Naphcare | $348 | 143% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Saint John Hospital in Leavenworth, Kansas, the facility's cash price of $224.00 is significantly lower than the median negotiated rate of $524.00 paid by insurance payers. While the facility's cash rate is higher than the state average of $224.00, it remains substantially below the gross charge of $1,047.00 and the highest negotiated amounts seen with payers like Celtic and Blue Cross Blue Shield. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the insurance negotiated rates often exceed the cash amount, potentially resulting in higher out-of-pocket costs if the patient's deductible has not yet been met.
To ensure you are not overcharged, it is critical to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a surprise bill for out-of-network services, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, you should inquire about prompt-pay discounts, which can reduce the cash price by 20% to 50% if paid in full upfront, effectively bypassing the administrative costs and delays associated with insurance claims processing. Always verify your specific plan's deductible status and ask the hospital to classify your account as self-pay to secure the best possible rate.