CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lee's Summit Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $782
Cash Discount Price: $8,465
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lee's Summit Medical Center is $782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,465. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.21x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$8,465

Average discount available for prompt cash payment at this facility.

Insurance Median

$782

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: $8,465 (3473%)

Insurance Median: $782 (321%)

Cash: $8,465 (3473% of Medicare)

Ins. Median: $782 (321% 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 321% of the Medicare baseline (a markup of 221%). 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 - $7,143	32%
Healthyblue	$81	33%
Medicaid / KanCare	$82	34%
Aetna	$83 - $6,381	34%
Amerigroup	$83	34%
Home State Health Plan	$83	34%
Unicare	$83	34%
Blue Cross Blue Shield	$137 - $6,825	56%
Ambetter / Centene	$196 - $2,952	80%
Nhc Advantage	$201 - $3,016	82%
Oscar	$201 - $3,016	82%
Wppa Providrs Care Network	$211 - $3,175	87%
Humana	$223 - $4,206	91%
Cigna	$262 - $12,698	107%
Universal Healthcare	$370 - $5,556	152%
Coventry	$425 - $6,381	174%
Coventry Kc Mo	$433 - $6,508	178%
College Park Family Care Center	$454 - $6,825	186%
Oha Network	$528 - $7,936	217%
Multiplan	$560 - $12,698	230%
Corvel Corporation	$687 - $10,317	282%
Focus Healthcare Mgmt, Inc	$792 - $11,905	325%
Cco, Inc.	$898 - $13,492	368%

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 $8,465.
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 Lee's Summit 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.