Ultrasound, leg veins (duplex)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $339
- Cash Discount Price: $796
- vs. Medicare Baseline: 1.39x 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 | $79 | 32% |
| Tricare | $327 | 134% |
| Medicare (plans) | $339 | 139% |
| Va_Ccn | $339 | 139% |
| Aetna | $339 | 139% |
| Medadv_Allwell | $339 | 139% |
| Blue Cross Blue Shield | $339 - $531 | 139% |
| Medadv_Uhc | $339 | 139% |
| Humana | $339 | 139% |
| Ambetter / Centene | $535 | 219% |
| Wppa_Providrscare | $880 | 361% |
| United | $883 | 362% |
| Hpk | $1,008 | 414% |
| Cigna | $1,008 | 414% |
| Coventry | $1,008 | 414% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $796.00, while the median negotiated rate across 15 payers is $339.00. This facility operates as a Critical Access Hospital with government-local ownership, and its cash rate is notably higher than the state average of $721.00. Under Medicare benchmarking principles, the federal baseline for this service is $243.77, meaning commercial negotiated rates often exceed the true cost of care by a significant margin. While the facility offers a cash median of $796.00, patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance negotiated rate exceeds this amount, though the data shows the negotiated average is lower. It is crucial to verify your specific plan's allowed amount before scheduling, as in-network rates vary widely among carriers.
Patients should proactively inquire about "self-pay" or "prompt-pay" discounts before check-in, as hospitals often offer fee reductions of 20% to 50% for upfront payments that bypass costly insurance billing cycles. Although the facility's cash rate is higher than the state median, the median negotiated rate of $339.00 suggests that many commercial payers have secured contracts below the cash price. However, if you are self-pay, you may be billed the full cash rate unless you request a waiver of insurance submission to avoid automatic claims processing. Additionally, under the No Surprises Act, you are protected from balance billing for emergency care and non-emergency services at in-network facilities, so