Ultrasound, leg veins (duplex)
Facility: Kearny County Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $774
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.18x 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 318% of the Medicare baseline (a markup of 218%). 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 | $774 | 318% |
| Wps Gha - Mac J5 Part A | $774 | 318% |
Consumer Guidance & Cost Commentary
For the CPT code 93970, representing an ultrasound of leg veins, the negotiated rate at Kearny County Hospital in Lakin, Kansas, is $774.00, which matches the facility's median negotiated rate. This amount is significantly higher than the Medicare benchmark of $243.77, reflecting a markup of 3.2 times the federal rate. While the facility is a Critical Access Hospital owned by the local government, the data indicates no cash or median paid values were reported for this service. Because the negotiated rate exceeds the cash price, patients with high-deductible plans might find it beneficial to pay the cash price directly if available, though the current data does not list a specific cash rate.
Before scheduling this procedure, it is crucial to verify whether the hospital offers a prompt-pay discount, which could reduce the bill by 20% to 50% if paid upfront. Patients should also request an itemized billing audit to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain mistakes. Given that the negotiated rate is fixed at $774.00 for both Blue Cross Blue Shield and Wps Gha - Mac J5 Part A, there is no variation between payers for this specific service. Consumers are advised to confirm their deductible status before relying on insurance, as paying the full negotiated rate without meeting the deductible could result in higher out-of-pocket costs than anticipated.