Ultrasound, leg veins (duplex)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $227
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Aetna | $126 - $852 | 52% |
| Humana | $224 | 92% |
| Va | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Vc Hope | $224 | 92% |
| Blue Cross Blue Shield | $228 | 94% |
| UnitedHealthcare | $228 - $626 | 94% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
| Cigna | $490 | 201% |
Consumer Guidance & Cost Commentary
For CPT code 93970, an ultrasound of the leg veins, the facility's negotiated rates range from $126 to $852 across ten payers, with a median negotiated amount of $227.00. This commercial rate is significantly higher than the Medicare benchmark of $243.77, which serves as the federal baseline for the true cost of this service. While commercial contracts often average 200% to 300% of Medicare rates, the facility's specific negotiated amounts here are closer to the fair pricing range of 120% to 150% of the Medicare amount. Patients should note that while in-network insurance provides protection against balance billing, the actual amount paid by the insurer may vary widely depending on the specific plan, with some carriers like Aetna showing a low-end rate of $126 and others like UnitedHealthcare reaching up to $626.
For patients without insurance or with high-deductible plans, paying cash directly can sometimes result in lower out-of-pocket costs compared to the insurance negotiated rate. Although the data does not list a specific cash price, facilities often offer prompt-pay discounts of 20% to 50% for upfront payment, which bypasses the administrative overhead and claims processing costs that inflate insurance rates. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these rates are frequently lower than the commercial negotiated amounts. Additionally, since this facility is located in Wichita, KS, and operates as a Part A provider, patients should verify their specific plan details to ensure they are aware of any deductibles or co-pays that might