Ultrasound, leg veins (duplex)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $226
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Saint Lukes Health Systems | $224 | 92% |
| Humana | $224 | 92% |
| Via Christi Research | $224 | 92% |
| Vc Hope | $224 | 92% |
| Va | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Blue Cross Blue Shield | $228 | 94% |
| UnitedHealthcare | $228 - $626 | 94% |
| Corizon | $279 | 114% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
Consumer Guidance & Cost Commentary
For this ultrasound of leg veins (duplex) at Via Christi Hospital Wichita St Teresa, Inc in Wichita, KS, the facility's negotiated rates range from $224 to $626 depending on the insurance plan. The lowest negotiated amount is $224, which aligns with the rates for Saint Lukes Health Systems, Humana, and several other payers. However, the highest negotiated rate of $626 from UnitedHealthcare significantly exceeds the median negotiated rate of $226 and the Medicare benchmark of $243.77. While the facility is a voluntary non-profit church-owned acute care hospital with a 4-star rating, patients should note that cash-pay rates are not listed in this report. In cases where a patient's insurance deductible has not been met or the negotiated rate exceeds the cash price, paying out-of-pocket may result in a lower total cost, provided the facility offers a self-pay or prompt-pay discount.
To ensure you are not overcharged, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a surprise bill for the difference between the provider's chargemaster rate and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities. Since the facility's rates vary widely across payers, verify your specific plan's allowed amount and ask the billing department about any prompt-pay discounts available for upfront payment. Always dispute any unexpected charges in writing to avoid credit damage and ensure the bill reflects only the services