CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University Of Kansas Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $379
  • Cash Discount Price: $426
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University Of Kansas Hospital is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.55x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$426

Average discount available for prompt cash payment at this facility.

Insurance Median
$379

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: $426 (175%)
Insurance Median: $379 (155%)
Cash: $426 (175% of Medicare)
Ins. Median: $379 (155% 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.

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
Larned State Hospital [503200090] $128 - $1,130 53%
Hchsync Centrus Health Direct [503999916] $130 - $1,340 53%
Blue Cross Blue Shield $167 - $2,940 69%
Alt Theramatrix [5032000967] $179 - $1,578 73%
Health Plan Inc [503999941] $204 - $1,800 84%
Accarent Health [503999034] $217 - $1,915 89%
Alt Carelon Behavioral Health [503200905] $217 - $1,915 89%
Tricare $221 - $223 91%
Triwest [503201703] $221 - $223 91%
Humana $221 - $227 91%
Workers Comp [503999901] $223 - $3,638 91%
Medicare (plans) $223 - $227 91%
Aetna $223 - $2,591 91%
Lasso Healthcare [503999926] $223 91%
UnitedHealthcare $223 - $399 91%
Devoted [503200068] $223 91%
Ku Athletics [503200094] $223 91%
Coresource [503200089] $224 - $1,976 92%
Coventry [503200022] $224 - $2,591 92%
Meritain Health [503200039] $224 - $3,217 92%
Allwell [503200078] $229 94%
American Health Plans [503200968] $234 96%
Allied National [503999937] $260 - $2,298 107%
Php [503200005] $260 - $2,830 107%
Alt Wppa [5032000964] $263 - $2,320 108%
Inter-Americas Insurance [503999032] $263 - $2,320 108%
Geha [503200036] $263 - $2,320 108%
Cerner [503200038] $263 - $2,320 108%
Healthlink [503200007] $263 - $2,830 108%
Med-Pay [503200040] $263 - $2,320 108%
Oscar [503201609] $267 - $423 110%
First Health [5032000110] $286 - $2,524 117%
Aha-Healthcare Preferred [503200050] $286 - $2,524 117%
Centurion [5032000966] $290 119%
Alt Meritain Health [503999911] $294 - $2,591 121%
Ascension Living Hope [503201517] $304 - $2,681 125%
Correct Care Solutions [50311253] $304 - $2,681 125%
Coeur Plan Services [503301517] $304 - $2,681 125%
Consolidated Billing [50311256] $304 - $2,681 125%
Gallagher Bassett [5032000103] $326 134%
Orscheln Industries [503201608] $326 - $2,872 134%
Empire Plan/Nyship [503200705] $333 - $2,940 137%
Alt Lucent Health Solutions [503202603] $333 - $2,940 137%
Alt Lineco [5032000976] $333 - $2,940 137%
Quiktrip [5032000412] $347 - $3,064 142%
Point Comfort Underwriters [503200018] $347 - $3,064 142%
Cigna $347 - $3,064 142%
Century Health Solutions [503200054] $347 - $3,064 142%
Wppa [503200056] $365 - $3,217 150%
Centivo [5032000982] $368 - $423 151%
Wellfit [503301514] $368 - $423 151%
Ambetter / Centene $379 155%
6 Degrees Health [503999050] $390 - $557 160%
Usa Managed Care [503999030] $391 - $3,447 160%
Plan Care America [503999026] $391 - $3,447 160%
Employers Health Network [503999025] $391 - $3,447 160%
Three Rivers Provider Network [503999029] $391 - $3,447 160%
Sanford Health Plan [503999027] $391 - $3,447 160%
Medica [503200074] $399 164%
Fort Hays State Student Athletes [5032000960] $468 192%
Occunet [503999930] $468 192%
Claimdoc [503301509] $601 247%
Multiplan [503200057] $601 247%
Advanced Medical Pricing Solutions [503301513] $668 274%

Consumer Guidance & Cost Commentary

For the ultrasound of leg veins (duplex) at University Of Kansas Hospital, the cash price is $426.00, which is significantly lower than the facility's gross charge of $2,132.00. While commercial insurance negotiated rates vary widely among payers, ranging from a low of $128 to a high of $3,999, the cash price remains the most consistent baseline for patients. Notably, the cash rate is lower than the facility's median negotiated rate of $379.00 and the state average of $377.00, meaning self-pay patients may save money by paying directly rather than relying on insurance. However, patients with high-deductible plans should verify their out-of-pocket maximums, as the negotiated rates for some insurers exceed the cash price, potentially resulting in higher out-of-pocket costs if the deductible has not been met.

To ensure you receive the most accurate pricing, it is essential to request a self-pay or prompt-pay discount before scheduling your appointment, as these upfront payment incentives can further reduce the final bill. If you are billed after receiving care, always demand a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected. Additionally, if you receive a balance bill for out-of-network services at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services at in-network hospitals. You should dispute any unexpected charges in writing with the billing supervisor to avoid credit damage and ensure compliance with federal protections.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals