Ultrasound, leg veins (duplex)
Facility: Lindsborg Community Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $727
- Cash Discount Price: $829
- vs. Medicare Baseline: 2.98x 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 298% of the Medicare baseline (a markup of 198%). 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 |
|---|---|---|
| Tricare | $360 - $754 | 148% |
| Coventry Mcr Adv | $363 - $762 | 149% |
| Blue Cross Blue Shield | $476 | 195% |
| Cigna | $650 - $1,364 | 267% |
| UnitedHealthcare | $689 - $1,444 | 283% |
| Coventry Comm-All Other Plans | $689 - $1,444 | 283% |
| Phcs Preferred-All Plans | $712 - $1,492 | 292% |
| Multiplan-All Plans | $712 - $1,492 | 292% |
| Coventry Wc | $727 - $1,524 | 298% |
| Century Health-All Plans | $727 - $1,524 | 298% |
| Wppa-All Plans | $727 - $1,524 | 298% |
| Health Partners -All Plans | $727 - $1,524 | 298% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash price of $829.00 is notably lower than the negotiated rates charged to most major insurers, which range from $650 to $1,524 depending on the plan. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the insurer's allowed amounts often exceed the cash rate. It is important to note that while the facility offers a cash median of $829.00, the median negotiated rate across all payers is $727.00, suggesting that for some specific plans, the insurance payment might be lower than the cash option, though this varies significantly by carrier.
To ensure you are not overcharged, we recommend requesting a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, if you are receiving care from an out-of-network provider, the No Surprises Act protects you from balance billing for emergency and non-emergency services at in-network facilities, though you should verify your specific situation with the hospital. Finally, do not assume that being in-network guarantees the lowest price; always ask the billing department about self-pay or prompt-pay discounts, which can reduce your bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.