Ultrasound, leg veins (duplex)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $226
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Saint Lukes Health Systems | $224 | 92% |
| Via Christi Research | $224 | 92% |
| Vc Hope | $224 | 92% |
| Va | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Humana | $224 | 92% |
| Blue Cross Blue Shield | $228 | 94% |
| UnitedHealthcare | $228 - $626 | 94% |
| Corizon | $279 | 114% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $224 to $380, with a median negotiated amount of $226.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the median negotiated rate is 0.9 times the Medicare benchmark of $243.77. While commercial insurance plans like UnitedHealthcare may see negotiated rates as high as $626, the majority of payers, including Saint Lukes Health Systems and Via Christi Research, have a fixed negotiated rate of $224. Patients should note that while in-network status protects against balance billing under the No Surprises Act, the actual amount paid depends heavily on whether the patient has met their deductible; if the deductible is not met, the patient may be responsible for the full negotiated rate rather than a lower cash price.
To potentially lower out-of-pocket costs, patients should inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment options can bypass the administrative overhead and claims processing costs that inflate insurance rates. Although cash prices are not listed in this report, facilities often offer significant reductions for immediate payment, which can be advantageous for those with high-deductible plans where the insurance negotiated rate exceeds the cash price. It is also important to request an itemized billing audit if a summary bill is received, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. By verifying the specific CPT code 93970 and comparing the facility's rates directly to the Medicare benchmark, consumers