Ultrasound, leg veins (duplex)
Facility: Morris County Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $648
- Cash Discount Price: $676
- vs. Medicare Baseline: 2.66x 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 266% of the Medicare baseline (a markup of 166%). 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 | $440 - $481 | 180% |
| UnitedHealthcare | $440 - $1,127 | 180% |
| Coventry Mcr | $440 | 180% |
| Va Ccn-All Plans | $440 | 180% |
| Choice Care Mcr Adv-All Plans | $440 | 180% |
| Cigna | $815 | 334% |
| Aetna | $1,010 | 414% |
| Multiplan-All Plans | $1,014 | 416% |
| Coventry Comm-All Other Plans | $1,014 | 416% |
| Providrs Care (Wppa)(Nexus)-All Plans | $1,690 | 693% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Morris County Hospital in Council Grove, Kansas, the facility's cash median rate of $676.00 is notably lower than the negotiated rates charged to most major insurers, which range from $440 to $1,690 depending on the specific plan. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs than paying cash directly. If your insurance plan has a high deductible, paying the cash price of $676.00 upfront could save you money compared to your insurer's negotiated rate, which may exceed the cash amount. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these programs can further reduce the final bill by bypassing administrative fees associated with insurance claims.
It is important to understand that the gross charge of $1,127.00 represents the full list price before any discounts, and the Medicare benchmark of $243.77 serves as the objective baseline for evaluating fair pricing rather than the commercial rates. Although the facility's negotiated median of $648.00 is close to the cash rate, patients must be cautious of balance billing if they receive care from out-of-network providers, even at an in-network hospital, where the insurer may only pay a portion of the full charge. To avoid unexpected costs, always request a detailed, itemized bill that breaks down every CPT code and service rendered, as summary bills often hide errors or unbundled charges. If you receive a bill that seems incorrect, dispute it in writing with the billing