Ultrasound, leg veins (duplex)
Facility: Goodland Regional Medical Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,365
- Cash Discount Price: $1,365
- vs. Medicare Baseline: 5.60x 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 560% of the Medicare baseline (a markup of 460%). 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% |
| Wppa | $1,289 - $1,365 | 529% |
| UnitedHealthcare | $1,365 | 560% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Goodland Regional Medical Center in Goodland, KS, the facility's cash and negotiated rates are both $1,365, which aligns with the median negotiated rate for this procedure in the region. This price is 5.6% higher than the Medicare benchmark of $243.77, reflecting the standard markup for commercial services. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find the cash price more advantageous than the insurance negotiated rate, as paying out-of-pocket upfront can sometimes result in lower total costs if the insurance allowed amount exceeds the cash price.
To minimize potential costs, patients should proactively request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce bills by 20% to 50%. It is important to avoid accepting summary bills without verification, as hospitals may issue broad category totals that obscure individual charges; instead, patients should demand a full itemized statement to identify any unbundled codes or services not rendered. Additionally, while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still review their specific plan details and avoid signing out-of-network cost waivers for mandatory ancillary services to ensure they are not inadvertently agreeing to unexpected charges.