Ultrasound, leg veins (duplex)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $219
- Cash Discount Price: $788
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $214 | 88% |
| Providrs Care Network | $219 | 90% |
| Blue Cross Blue Shield | $219 - $390 | 90% |
| UnitedHealthcare | $219 - $265 | 90% |
| Aetna | $219 - $273 | 90% |
| United Mine Workers Of America | $219 | 90% |
| Lantern Specialty Care | $350 | 144% |
Consumer Guidance & Cost Commentary
For CPT code 93970, an ultrasound of the leg veins, Kansas Spine & Specialty Hospital, LLC in Wichita, KS, has a cash median price of $788.00, which is 322% higher than the Medicare benchmark of $243.77. While the facility's negotiated rates with major payers like Humana and UnitedHealthcare range from $214 to $390, these amounts remain significantly above the Medicare baseline. Because commercial negotiated rates often include administrative overhead and do not reflect the true cost of care, patients with high-deductible plans may find paying the cash price directly more affordable than their insurance would cover, provided they qualify for the facility's self-pay or prompt-pay discounts.
To ensure you are not overcharged, it is critical to request a full itemized billing audit before finalizing payment, as summary bills often hide unbundled charges or services not rendered. Since over 80% of hospital bills contain errors, verifying the line-by-line details can prevent unnecessary debt. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should still confirm your deductible status and ask about prompt-pay incentives upfront to avoid paying the full negotiated rate after the fact. Always compare the facility's specific rates against state and county averages to understand the true cost relative to your local market.