Ultrasound, leg veins (duplex)
Facility: Rawlins County Health Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,044
- Cash Discount Price: $1,020
- vs. Medicare Baseline: 4.28x 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 428% of the Medicare baseline (a markup of 328%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $481 | 197% |
| UnitedHealthcare | $1,044 | 428% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Rawlins County Health Center in Atwood, Kansas, the facility's cash median price is $1,020, which is lower than the negotiated rate of $1,044 typically paid by UnitedHealthcare. This service is billed under CPT code 93970, and while the facility is a Critical Access Hospital owned by a voluntary non-profit, patients should be aware that commercial insurance rates often include administrative overhead that can make them higher than out-of-pocket cash prices. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $1,020 upfront may result in lower total costs compared to having your insurance process the claim at the negotiated rate of $1,044, especially if your deductible balance exceeds the difference between these two amounts.
The Medicare benchmark for this service is $243.77, which serves as a baseline for evaluating the facility's pricing markup; the cash price of $1,020 represents a significant increase over this federal rate, reflecting the specific costs of delivering care in this Critical Access Hospital setting. Although the data does not provide specific county or state average comparisons for this exact procedure, it is important to verify that the facility is in-network with your specific Blue Cross Blue Shield plan, as in-network status guarantees a maximum allowed amount but does not necessarily ensure the lowest possible price. Before scheduling, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if you pay in full before or shortly after your visit,