Ultrasound, leg veins (duplex)
Facility: Kingman Healthcare Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $183
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.75x 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 |
|---|---|---|
| Medicaid / KanCare | $183 | 75% |
| Healthy Blue | $183 | 75% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure of leg veins (duplex) at Kingman Healthcare Center in Kansas, the median negotiated rate is $183, which aligns exactly with the lowest and highest rates reported by the two in-network payers, Medicaid/KanCare and Healthy Blue. This facility, a Critical Access Hospital in the Kingman area, has a median paid amount of $600.00, which is significantly higher than the Medicare benchmark of $243.77. While the facility does not currently list a cash price, patients with high-deductible plans should be aware that paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the insurer's allowed amount exceeds the cash price. It is essential to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these incentives can reduce the final cost by bypassing administrative fees and claims processing delays.
When reviewing your final statement, ensure you request an itemized bill that breaks down the specific CPT code and unit costs to avoid paying for unbundled services or items that were never rendered. Since over 80% of hospital bills contain errors, a line-by-line audit is the most effective way to identify double-billing or charges for cancelled tests. If you receive a summary bill showing broad categories like "Laboratory" or "Pharmacy," do not accept it as the final invoice; instead, demand a detailed statement before negotiating or paying. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, always verify your deductible status before using insurance to ensure you are not unexpectedly responsible for the difference between the negotiated rate and your plan's