Ultrasound, leg veins (duplex)
Facility: Logan County Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $825
- Cash Discount Price: $300
- vs. Medicare Baseline: 3.38x 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 338% of the Medicare baseline (a markup of 238%). 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% |
| Humana | $509 | 209% |
| Health Partners - All Plans | $1,140 | 468% |
| Medicaid / KanCare | $1,200 | 492% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Logan County Hospital in Oakley, KS, the facility's cash price is $300, which is significantly lower than the state average of $825. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find the cash rate more affordable than their insurance negotiated rate, which averages $825. It is important to note that commercial payers like Blue Cross Blue Shield, Humana, and Health Partners have negotiated rates ranging from $481 to $1,140, meaning the cash price could save you money if you pay upfront. Before scheduling, you should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts, as these upfront incentives can further reduce the final cost.
When reviewing your bill, be aware that commercial insurance rates often include administrative overhead and contract markups that can exceed the true cost of care, which is better represented by the Medicare benchmark of $243.77. Although the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, it is still wise to request a detailed, itemized billing audit to ensure no errors or unbundled charges are included in your final statement. Since over 80% of hospital bills contain errors, do not accept a summary bill as final; instead, demand a line-by-line breakdown of CPT codes and unit costs to verify that the charges align with the negotiated or cash rates listed above.