CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Centerpoint Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $3,709
Cash Discount Price: $12,462
vs. Medicare Baseline: 15.22x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Centerpoint Medical Center is $3,709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,462. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.22x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$12,462

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,709

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: $12,462 (5112%)

Insurance Median: $3,709 (1522%)

Cash: $12,462 (5112% of Medicare)

Ins. Median: $3,709 (1522% 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 1522% of the Medicare baseline (a markup of 1422%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$79 - $5,863	32%
Healthyblue	$81	33%
Medicaid / KanCare	$82	34%
Amerigroup	$83	34%
Home State Health Plan	$83	34%
Unicare	$83	34%
Cigna	$272 - $10,422	112%
Blue Cross Blue Shield	$1,351 - $5,993	554%
Ambetter / Centene	$1,933 - $2,423	793%
Nhc Advantage	$1,975 - $2,475	810%
Oscar	$1,975 - $2,475	810%
Wppa Providrs Care Network	$2,079 - $2,606	853%
Humana	$2,193 - $3,452	900%
Aetna	$2,287 - $5,237	938%
Universal Healthcare	$3,638 - $4,560	1492%
Coventry	$4,178 - $5,237	1714%
Coventry Kc Mo	$4,261 - $5,342	1748%
College Park Family Care Center	$4,469 - $5,602	1833%
Oha Network	$5,197 - $6,514	2132%
Multiplan	$5,508 - $10,422	2260%
Corvel Corporation	$6,756 - $8,468	2771%
Global Sports Services	$8,315 - $10,422	3411%
Cco, Inc.	$8,834 - $11,074	3624%
Focus Healthcare Mgmt, Inc	$9,354 - $11,725	3837%

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 $12,462.
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 Centerpoint Medical Center 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.