Ultrasound, leg veins (duplex)
Facility: Overland Park Reg Med Ctr
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $2,020
- Cash Discount Price: $6,225
- vs. Medicare Baseline: 8.29x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 829% of the Medicare baseline (a markup of 729%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Amerigroup | $79 | 32% |
| United | $79 - $3,082 | 32% |
| Healthyblue | $81 | 33% |
| Medicaid / KanCare | $82 | 34% |
| Aetna | $83 - $2,753 | 34% |
| Unicare | $83 | 34% |
| Home State Health Plan | $216 | 89% |
| Cigna | $272 - $2,527 | 112% |
| Blue Cross Blue Shield | $773 - $2,945 | 317% |
| Ambetter / Centene | $1,105 - $1,274 | 453% |
| Oscar | $1,129 - $1,301 | 463% |
| Nhc Advantage | $1,129 - $1,301 | 463% |
| Wppa Providrs Care Network | $1,188 - $1,370 | 487% |
| Humana | $1,254 - $1,815 | 514% |
| Universal Healthcare | $2,080 - $2,397 | 853% |
| Coventry | $2,389 - $2,753 | 980% |
| Coventry Kc Mo | $2,436 - $2,808 | 999% |
| College Park Family Care Center | $2,555 - $2,945 | 1048% |
| Oha Network | $2,971 - $3,424 | 1219% |
| Multiplan | $3,149 - $5,478 | 1292% |
| Corvel Corporation | $3,863 - $4,451 | 1585% |
| Triwest Health Alliance | $4,457 - $5,136 | 1828% |
| Cco, Inc. | $4,457 - $5,136 | 1828% |
| Focus Healthcare Mgmt, Inc | $4,457 - $5,136 | 1828% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Overland Park Reg Med Ctr in Overland Park, KS, the cash price is $6,225.00, which matches the facility's median paid amount. While this cash rate is significantly higher than the Medicare benchmark of $243.77, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, United Health plans have a negotiated range of $79 to $3,082, and Aetna ranges from $81 to $2,753, meaning patients with high-deductible plans might find paying the cash price directly more cost-effective than relying on insurance that could result in balance billing if out-of-network services are involved. Patients should verify their specific plan's deductible status and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing.
This procedure is billed under CPT code 93970, and the facility's pricing data reflects a vintage of 2026-06. Although the provided data does not include explicit county or state average comparisons for this specific code, the facility operates as an Acute Care Hospital in Kansas with a proprietary ownership model. Consumers should be aware that hospitals often issue summary bills that obscure individual charges, so requesting a full itemized CPT-coded statement is essential to identify errors, unbundled codes, or services not rendered. If a patient receives a bill that seems inconsistent with the negotiated or cash rates, they should dispute it in