CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Muscogee (Creek) Nation Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $327
Cash Discount Price: $594
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Muscogee (Creek) Nation Medical Center is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.34x the Medicare baseline. Located in 1401 Morris Drive, Okmulgee, OK.

Cash / Self-Pay

$594

Average discount available for prompt cash payment at this facility.

Insurance Median

$327

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: $594 (244%)

Insurance Median: $327 (134%)

Cash: $594 (244% of Medicare)

Ins. Median: $327 (134% 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
Humana	$29 - $1,320	12%
Aetna	$31 - $1,452	13%
Community Care Mcr Adv	$31 - $229	13%
Global Health Mcr Adv	$31 - $1,320	13%
UnitedHealthcare	$31 - $1,006	13%
Blue Cross Blue Shield	$33 - $531	14%
Healthchoice-All Plans	$34 - $420	14%
Community Care Comm - All Other Plans	$39 - $493	16%
Global Health Comm - All Other Plans	$40 - $298	16%
First Health-All Plans	$759 - $1,518	311%

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 $594.
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 Muscogee (Creek) Nation 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.