Ultrasound, leg veins (duplex)
Facility: Clay County Medical Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $66
- Cash Discount Price: $608
- vs. Medicare Baseline: 0.27x 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.
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 |
|---|---|---|
| Multiplan- All Plans | $32 - $1,088 | 13% |
| UnitedHealthcare | $41 - $1,088 | 17% |
| Wppa/Providrs Care- All Plans | $65 - $1,065 | 27% |
| Aetna | $65 - $1,065 | 27% |
| Health Partners - All Plans | $66 - $1,088 | 27% |
Consumer Guidance & Cost Commentary
For the CPT code 93970, representing an ultrasound of leg veins, Clay County Medical Center in Clay Center, KS, lists a cash median price of $608.00. This cash rate is significantly higher than the state average for this procedure, which is $248.00. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that commercial insurance negotiated rates can sometimes exceed the cash price. For instance, the median negotiated rate across payers is $66.00, yet individual plan maximums range from $65 to $1,088. If you have a high-deductible plan, paying the cash price of $608.00 upfront might be more cost-effective than your insurance paying a negotiated rate that exceeds this amount, provided you have not yet met your deductible.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment. Hospitals often issue summary bills that obscure individual charges, but an itemized statement reveals the exact CPT codes and unit costs, helping to identify errors, unbundled services, or charges for items not rendered. Additionally, you should inquire about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full within a short window, bypassing the administrative costs associated with insurance claims. Always verify your specific plan's allowed amount and deductible status before scheduling, as assuming that being in-network guarantees the lowest price can lead to unexpected costs if your plan's negotiated rate is higher than the cash option.