CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cox Medical Centers

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $199
Cash Discount Price: $529
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cox Medical Centers is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.82x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $529 (217%)

Insurance Median: $199 (82%)

Cash: $529 (217% of Medicare)

Ins. Median: $199 (82% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Parkcrest Dental Group	$169	69%
Coastal Energy Corporation	$170	70%
Heart Of America Beverage Company	$174	71%
Loren Cook	$177	73%
Springfieldgreene Co Library	$181	74%
Src Holdings Corporation	$182	75%
Ozark Anesthesia Assoc. Inc	$184	75%
Missouri Affiliated School Consortium (Masc)	$189	78%
Justice Furniture And Bedding Co	$190	78%
The Durham Company	$190	78%
Ozark County	$191	78%
Ozarks Cocacola	$193	79%
Flora Farms	$197	81%
Advanced Concrete Technology	$199	82%
Cox Healthplans	$238	98%
Health Net Federal Services	$238	98%
Humana	$238	98%
Medrisk Llc	$238	98%
UnitedHealthcare	$238 - $470	98%
Blue Cross Blue Shield	$241	99%
Allwell	$245	101%
Devoted	$254	104%
Provider Partners Health Plan	$254	104%
Texas Co Memorial Hospital	$472	194%
Bjc Health Solutions	$510 - $2,097	209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $529.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cox Medical Centers is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.