CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Duncan Regional Hospital, Inc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,082
  • Cash Discount Price: $493
  • vs. Medicare Baseline: 4.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Duncan Regional Hospital, Inc is $1,082. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.44x the Medicare baseline. Located in 1407 Whisenant Drive, Duncan, OK.
Cash / Self-Pay
$493

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,082

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: $493 (202%)
Insurance Median: $1,082 (444%)
Cash: $493 (202% of Medicare)
Ins. Median: $1,082 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Humana $246 101%
Friday Health Plan $628 258%
Blue Cross Blue Shield $688 - $1,080 282%
Medica $699 287%
Healthcare Highways $733 - $1,082 301%
UnitedHealthcare $1,132 464%
Oklahoma Health Network (Ohn) $1,332 546%
Aetna $1,415 580%
Coventry $1,415 580%
Cigna $1,498 615%
First Health $1,498 615%
Osma Health $1,498 615%
Preferred Community Choice $1,532 628%
Healthsmart $1,565 642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1407 Whisenant Drive, Duncan, OK 73533
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals