Ultrasound, leg veins (duplex)
Facility: Kansas Medical Center Llc
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $220
- Cash Discount Price: $403
- 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 |
|---|---|---|
| Medicaid / KanCare | $79 | 32% |
| United | $191 - $336 | 78% |
| Tricare | $198 | 81% |
| Indian Health | $198 | 81% |
| Medadv_Wellcare | $220 | 90% |
| Humana | $220 | 90% |
| Blue Cross Blue Shield | $220 - $459 | 90% |
| Ambetter / Centene | $220 | 90% |
| Wppa | $269 | 110% |
| Aetna | $302 | 124% |
| Three_Rivers | $440 | 180% |
Consumer Guidance & Cost Commentary
For CPT code 93970, an ultrasound of the leg veins, Kansas Medical Center Llc in Andover, KS, lists a cash price of $403.00, which is lower than the facility's negotiated rate of $220.00 and significantly below the gross charge of $672.00. While the facility's cash price is higher than the state average of $362.00, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds this amount. It is important to note that the facility's cash price is also higher than the Medicare benchmark of $243.77, which serves as the objective baseline for evaluating pricing markups.
Commercial payers negotiate rates that vary widely, ranging from $79 for Medicaid/KanCare to $440 for Three Rivers, with a median negotiated amount of $220.00 across 11 plans. Because insurance billing involves administrative overhead and contract dynamics, these negotiated rates often exceed cash prices despite being lower than the gross chargemaster. To minimize costs, patients should verify their specific plan's allowed amount before scheduling and inquire directly with the hospital about self-pay or prompt-pay discounts, which can reduce bills by 20% to 50% when paid upfront. Additionally, if a patient receives an itemized bill, they should request a full line-by-line statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written audit dispute.