CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Research Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $2,652
  • Cash Discount Price: $7,577
  • vs. Medicare Baseline: 10.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Research Medical Center is $2,652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,577. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.88x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.
Cash / Self-Pay
$7,577

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,652

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $7,577 (3108%)
Insurance Median: $2,652 (1088%)
Cash: $7,577 (3108% of Medicare)
Ins. Median: $2,652 (1088% of 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 1088% of the Medicare baseline (a markup of 988%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $79 - $3,410 32%
Healthyblue $81 33%
Medicaid / KanCare $82 34%
Aetna $83 - $3,046 34%
Amerigroup $83 34%
Unicare $83 34%
Home State Health Plan $96 39%
Cigna $272 - $3,788 112%
Blue Cross Blue Shield $985 - $2,955 404%
Ambetter / Centene $1,409 578%
Nhc Advantage $1,440 591%
Oscar $1,440 591%
Wppa Providrs Care Network $1,515 621%
Humana $1,599 - $4,925 656%
Universal Healthcare $2,652 1088%
Coventry $3,046 1250%
Coventry Kc Mo $3,106 1274%
College Park Family Care Center $3,258 1337%
Emerging Therapy Solutions $3,637 - $3,788 1492%
Oha Network $3,788 1554%
Multiplan $4,016 - $6,061 1647%
Corvel Corporation $4,925 2020%
Focus Healthcare Mgmt, Inc $5,683 2331%
Triwest Health Alliance $5,683 2331%
Cco, Inc. $6,061 2486%
Evernorth Behavioral Health $6,061 2486%
UnitedHealthcare $6,743 - $7,577 2766%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2316 E Meyer Blvd, Kansas City, MO 64132
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals