Ultrasound, leg veins (duplex)
Facility: Republic County Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $773
- Cash Discount Price: $630
- vs. Medicare Baseline: 3.17x 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 317% of the Medicare baseline (a markup of 217%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $714 | 293% |
| Aetna | $756 | 310% |
| Meritain-All Plans | $756 | 310% |
| UnitedHealthcare | $773 | 317% |
| Cigna | $798 | 327% |
| First Health-All Plans | $798 | 327% |
| Midlands Choice-All Plans | $798 | 327% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Republic County Hospital in Belleville, KS, the facility's cash median price is $630.00, which is lower than the state average of $773.00. While the hospital's negotiated rate for in-network payers is $773.00, patients with high-deductible plans might find the cash price more advantageous if their insurance allows them to pay the full negotiated amount. It is important to note that commercial rates often include administrative overhead and contract markups, whereas the Medicare benchmark of $243.77 serves as a scientifically validated baseline for the true cost of this service.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can sometimes reduce the final bill by 20% to 50% by bypassing costly insurance claims processing. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement rather than accepting a summary invoice to ensure no services were double-billed or unbundled. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, verifying the exact breakdown of charges remains the most effective way to avoid unexpected costs.