Ultrasound, leg veins (duplex)
Facility: Providence Medical Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $236
- Cash Discount Price: $224
- vs. Medicare Baseline: 0.97x 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 - $482 | 32% |
| Celtic | $81 - $360 | 33% |
| Healthy Blue | $81 - $236 | 33% |
| Aetna | $225 - $301 | 92% |
| Midland Care Connection | $225 | 92% |
| Cigna | $225 | 92% |
| Medicare (plans) | $225 | 92% |
| Tricare | $225 | 92% |
| Kansas Superior Select | $236 | 97% |
| Corizon | $292 | 120% |
| Well Path Prison | $315 | 129% |
| Employer Direct Healthcare | $315 | 129% |
| Oha Networks | $332 | 136% |
| Centurion | $337 | 138% |
| Worker Compensation | $343 | 141% |
| Naphcare | $348 | 143% |
| Blue Cross Blue Shield | $360 - $416 | 148% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Providence Medical Center in Kansas City, KS, the facility's cash median rate of $224.00 is significantly lower than the gross charge of $1,047.00, offering a substantial opportunity for cost savings. While the facility's negotiated rates with major payers like UnitedHealthcare and Celtic range from $79 to $482, these amounts often exceed the cash price, meaning patients with high-deductible plans or those without insurance may pay less by choosing self-pay. The facility's cash rate is also notably lower than the state average for this procedure, and patients should explicitly ask about "prompt-pay" discounts or self-pay rates before scheduling to ensure they are not billed the full negotiated amount.
When evaluating the cost, it is important to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare amount for this service is $243.77, which serves as a scientifically validated baseline for the true cost of care, whereas commercial negotiated rates can average 200% to 300% of this figure. Although the facility's negotiated rates are generally higher than the cash price, they are still within a reasonable range relative to the Medicare benchmark, avoiding the extreme markups often found in out-of-network scenarios. To maximize value, patients should request an itemized bill to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit.