Ultrasound, leg veins (duplex)
Facility: Wichita County Health Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,132
- Cash Discount Price: $993
- vs. Medicare Baseline: 4.64x 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 464% of the Medicare baseline (a markup of 364%). 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 |
|---|---|---|
| Medicaid / KanCare | $1,024 | 420% |
| UnitedHealthcare | $1,241 | 509% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Wichita County Health Center in Leoti, Kansas, the facility's cash price is $993.00, which is lower than the state average of $1,024.00. While Medicaid / KanCare members pay the full negotiated rate of $1,024.00 due to the lack of a contract with the insurer, UnitedHealthcare members pay the same $1,241.00 as the facility's gross chargemaster rate. This significant difference highlights how commercial insurance rates can exceed cash prices; patients with high-deductible plans may save money by paying the $993.00 cash price directly, provided they do not have other coverage that would trigger balance billing.
To ensure you are not overcharged, it is essential to request a detailed itemized bill before paying, as summary invoices often hide unbundled codes or services not rendered. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, you should still verify that all ancillary services were billed correctly. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the final amount if you settle the bill upfront, and always compare the facility's negotiated rates against the Medicare benchmark of $243.77 to understand the true cost markup.