Ultrasound, leg veins (duplex)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $535
- Cash Discount Price: $342
- vs. Medicare Baseline: 2.19x 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 219% of the Medicare baseline (a markup of 119%). 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 |
|---|---|---|
| UnitedHealthcare | $100 - $223 | 41% |
| Geha [503200036] | $104 | 43% |
| Medica [503200074] | $104 | 43% |
| Workers Comp [503999901] | $104 - $1,452 | 43% |
| Ku Athletics [503200094] | $223 | 91% |
| Medicare (plans) | $227 | 93% |
| Blue Cross Blue Shield | $229 | 94% |
| Allwell [503200078] | $229 | 94% |
| Triwest [503201703] | $235 | 96% |
| Tricare | $235 | 96% |
| Humana | $235 | 96% |
| Centurion [5032000966] | $290 | 119% |
| Ambetter / Centene | $323 | 133% |
| Fort Hays State Student Athletes [5032000960] | $468 | 192% |
| Occunet [503999930] | $468 | 192% |
| Hchsync Centrus Health Direct [503999916] | $512 - $598 | 210% |
| 6 Degrees Health [503999050] | $557 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $705 | 289% |
| Meritain Health [503200039] | $717 - $1,025 | 294% |
| Wppa [503200056] | $717 | 294% |
| Alt Wppa [5032000964] | $717 | 294% |
| Alt Carelon Behavioral Health [503200905] | $854 | 350% |
| Aha-Healthcare Preferred [503200050] | $1,025 | 420% |
| Aetna | $1,025 | 420% |
| Php [503200005] | $1,025 | 420% |
| Alt Meritain Health [503999911] | $1,025 | 420% |
| First Health [5032000110] | $1,025 | 420% |
| Allied National [503999937] | $1,025 | 420% |
| Cigna | $1,025 - $1,366 | 420% |
| National Assn Letter Carriers [503200019] | $1,025 | 420% |
| Correct Care Solutions [50311253] | $1,196 | 491% |
| Usa Managed Care [503999030] | $1,537 | 631% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) service at the University of KS Health System Great Bend Campus, the cash price is $342.00, which is significantly lower than the facility's gross charge of $1,708.00. While the facility's negotiated rates with insurance payers range from $100 to $1,537, the cash price remains the most transparent baseline for comparison. It is important to note that for patients with high-deductible plans, paying the cash price of $342.00 upfront may be more cost-effective than relying on insurance, as many commercial negotiated rates exceed this amount. Additionally, patients should verify with the hospital for potential "self-pay" or "prompt-pay" discounts, which can further reduce the final out-of-pocket cost by bypassing administrative fees associated with insurance billing.
When evaluating the facility's pricing against national standards, the Medicare benchmarking rate for this service is $243.77. Commercial negotiated rates typically average between 200% and 300% of the Medicare rate, whereas fair pricing is generally defined as 120% to 150% of Medicare. In this case, the facility's cash price of $342.00 is approximately 140% of the Medicare rate, aligning closely with the upper end of the fair pricing range. Patients should be aware that assuming an in-network rate is the lowest possible price is a common pitfall, as negotiated rates vary widely among payers and can sometimes be substantially higher than the cash option. To ensure accuracy, consumers should request an itemized bill to review specific CPT codes and avoid