Ultrasound, leg veins (duplex)
Facility: Menorah Medical Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $816
- Cash Discount Price: $2,884
- vs. Medicare Baseline: 3.35x 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 335% of the Medicare baseline (a markup of 235%). 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 |
|---|---|---|
| United | $79 - $1,410 | 32% |
| Amerigroup | $79 | 32% |
| Healthyblue | $81 | 33% |
| Medicaid / KanCare | $82 | 34% |
| Unicare | $83 | 34% |
| Aetna | $83 - $1,260 | 34% |
| Home State Health Plan | $216 | 89% |
| Blue Cross Blue Shield | $247 - $1,410 | 101% |
| Cigna | $272 - $2,507 | 112% |
| Ambetter / Centene | $353 - $583 | 145% |
| Nhc Advantage | $361 - $595 | 148% |
| Oscar | $361 - $595 | 148% |
| Wppa Providrs Care Network | $380 - $627 | 156% |
| Humana | $400 - $830 | 164% |
| Universal Healthcare | $664 - $1,097 | 272% |
| Coventry | $763 - $1,260 | 313% |
| Coventry Kc Mo | $778 - $1,285 | 319% |
| College Park Family Care Center | $816 - $1,347 | 335% |
| Oha Network | $949 - $1,567 | 389% |
| Multiplan | $1,006 - $2,507 | 413% |
| Corvel Corporation | $1,234 - $2,037 | 506% |
| Cco, Inc. | $1,423 - $2,350 | 584% |
| Triwest Health Alliance | $1,423 - $2,350 | 584% |
| Focus Healthcare Mgmt, Inc | $1,423 - $2,350 | 584% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Menorah Medical Center in Overland Park, KS, the cash price is $2,884.00, which matches the facility's cash median. While the facility's negotiated rates for commercial payers range from $79 to $2,507, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash price directly more affordable than using insurance, as the negotiated rate could exceed the cash amount. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates vary significantly even within the same facility.
The facility's negotiated rate of $816.00 is notably lower than the gross charge but remains above the Medicare benchmark of $243.77, representing a markup of 3.3 times the Medicare rate. This aligns with typical commercial pricing dynamics where rates average 200% to 300% of Medicare, though fair pricing is often defined as 120% to 150% of Medicare. To minimize costs, patients should inquire about self-pay or prompt-pay discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the administrative overhead of insurance claims. Additionally, requesting an itemized billing audit is recommended to identify any errors or unbundled codes, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written dispute.