Ultrasound, leg veins (duplex)
Facility: Minneola District Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $515
- Cash Discount Price: $257
- vs. Medicare Baseline: 2.11x 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 211% of the Medicare baseline (a markup of 111%). 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 |
|---|---|---|
| Va Community Care Program-All Plans | $30 - $432 | 12% |
| UnitedHealthcare | $30 - $645 | 12% |
| Humana | $30 - $432 | 12% |
| Aetna | $183 - $645 | 75% |
| Medicaid / KanCare | $183 - $645 | 75% |
| Providrs Care Network-All Plans | $183 - $548 | 75% |
| Blue Cross Blue Shield | $481 | 197% |
| Corporate Plan Management-All Plans | $548 | 225% |
| Triwest-All Plans | $580 | 238% |
| Preferred Health Care (Coventry)-All Other Plans | $580 | 238% |
| Health Partners Of Kansas-All Plans | $613 | 251% |
| Phc (Coventry) Leased Network | $613 | 251% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Minneola District Hospital in Minneola, KS, the cash price is $257.00, which is lower than the facility's negotiated rate of $515.00. While the facility's cash rate is below the state average, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. For individuals with high-deductible plans, paying the cash price upfront can sometimes result in lower out-of-pocket costs than the insurance negotiated rate, provided the patient has not yet met their deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these incentives can further reduce the final amount owed.
When evaluating the cost against the Medicare benchmark, the facility's cash rate of $257.00 is 105% of the Medicare amount of $243.77, which aligns closely with the fair pricing range of 120% to 150% of Medicare. Although commercial rates for this service range widely among payers—from $30 to $613—the facility's ownership by a Hospital District suggests potential cost-efficiencies compared to private entities. To ensure you are receiving the most accurate pricing, request a full itemized bill before payment to verify that no unbundled codes or services not rendered have inflated the total. Always check your specific plan's deductible status and network tiering, as assuming that in-network coverage guarantees the lowest price can lead to unexpected costs if the negotiated rate exceeds your cash option.