Ultrasound, leg veins (duplex)
Facility: Labette Health
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $224
- Cash Discount Price: $714
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Uhccp | $43 - $180 | 18% |
| Medicaid / KanCare | $80 - $224 | 33% |
| Healthy Blue | $81 - $202 | 33% |
| Humana | $224 | 92% |
| Blue Cross Blue Shield | $224 - $481 | 92% |
| Wellcare | $224 | 92% |
| UnitedHealthcare | $224 - $888 | 92% |
| Kansas Superior Select | $230 | 94% |
| Ambetter / Centene | $257 | 105% |
| Montgomery County | $409 | 168% |
| Multiplan | $868 | 356% |
| Health Partners Of Kansas, Inc | $919 | 377% |
| Choicecare (First Health Network) | $919 | 377% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Labette Health in Parsons, KS, the facility's cash median price is $714.00, which is lower than the gross charge of $1,021.00. While the facility is a government-owned acute care hospital, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as many commercial payers have negotiated rates that exceed the cash price. For instance, UnitedHealthcare's negotiated rate can reach up to $888, and Multiplan's rate is $868, both higher than the cash option. To minimize costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final amount owed.
The facility's Medicare benchmarking ratio is 0.9, indicating that the Medicare amount of $243.77 is lower than the gross charge, which serves as a reliable baseline for evaluating pricing fairness. Although the data does not provide specific state or county average rates for comparison, the facility's cash rate of $714.00 is notably lower than the median negotiated rate of $224.00 reported across payers, suggesting that direct payment could be the most economical choice for many. Patients should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but it is crucial to request an itemized bill to ensure no unbundled codes or services not rendered are included. If a surprise bill arises, consumers should dispute it in writing with the insurer rather than paying immediately to avoid unnecessary debt