Ultrasound, leg veins (duplex)
Facility: Amberwell Atchison Association
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $678
- Cash Discount Price: $1,325
- vs. Medicare Baseline: 2.78x 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 278% of the Medicare baseline (a markup of 178%). 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 |
|---|---|---|
| Triwest - All Plans | $437 | 179% |
| Va Ccn - All Plans | $437 | 179% |
| Humana | $437 - $596 | 179% |
| UnitedHealthcare | $437 - $2,377 | 179% |
| Superior Select Mcr Adv - All Plans | $437 | 179% |
| Blue Cross Blue Shield | $457 - $481 | 187% |
| Ambetter / Centene | $678 | 278% |
| Aetna | $729 | 299% |
| Cigna | $729 | 299% |
| Centrus Health Direct - All Plans | $994 | 408% |
| Oscar - All Plans | $994 | 408% |
| Multiplan - All Plans | $1,034 | 424% |
| Wppa Providrs Care - All Plans | $1,192 | 489% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Amberwell Atchison Association in Atchison, KS, the cash price is $1,325.00, which matches the facility's cash median. While commercial insurance negotiated rates vary significantly by plan—ranging from $437 for Triwest and Va Ccn to $1,192 for Wppa Providrs Care—the cash price remains the highest figure in this dataset. Because commercial negotiated rates often include administrative overhead and contract markups, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, especially if their allowed amount exceeds the cash rate. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can reduce the final cost.
This service is provided by a Critical Access Hospital, a facility type often subject to specific federal pricing regulations that can influence rates. The Medicare benchmark for this procedure is $243.77, which serves as a baseline for evaluating the facility's pricing markup; commercial negotiated rates typically range from 200% to 300% of this amount, though fair pricing is often defined between 120% and 150%. Given that the facility is a voluntary non-profit, patients should be aware that while the facility may have a lower cost structure, the final billed amount depends on the specific contract between the insurer and the hospital. If a patient receives a bill that includes charges for services not rendered or unbundled components, they should request a full itemized audit to ensure accuracy, as over 80% of hospital bills