CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hillcrest Hospital Cushing

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,557
Cash Discount Price: $754
vs. Medicare Baseline: 6.39x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hillcrest Hospital Cushing is $1,557. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $754. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.39x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$754

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,557

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: $754 (309%)

Insurance Median: $1,557 (639%)

Cash: $754 (309% of Medicare)

Ins. Median: $1,557 (639% 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 639% of the Medicare baseline (a markup of 539%). 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
Black Lung [6055]	$628	258%
Healthcare Highways [2210]	$628 - $751	258%
Hooray Health [8000]	$628	258%
Lucent Health [6000]	$628	258%
Oncology Patient Assistance Programs [2295]	$628	258%
Oscar Insurance Company [7005]	$628	258%
Healthscope Benefits [2290]	$683	280%
UnitedHealthcare	$683 - $1,243	280%
Web Tpa [2115]	$751 - $1,032	308%
Aetna	$1,032	423%
Coresource [1315]	$1,032	423%
Coventry Healthcare [1320]	$1,032	423%
Meritain Health [1655]	$1,032	423%
Cigna	$1,228	504%
Healthpartners [1500]	$1,228	504%
National Association Of Letter Carriers [1695]	$1,228	504%
Pba [1775]	$1,228	504%
Global Health [1430]	$1,557	639%
First Health [1375]	$1,741 - $2,211	714%
Multiplan [1680]	$1,741 - $2,211	714%
Healthcare Solutions [1485]	$1,784	732%
Community Care [1290]	$2,085	855%
Fmh Benefit Services [1390]	$2,085	855%
Group Resources [1455]	$2,085	855%
Phcs [1780]	$2,085 - $2,211	855%
Healthsmart [1505]	$2,135	876%
Administrative Concepts [1005]	$2,211	907%
Allied Benefit Systems Inc [1030]	$2,211	907%
Allied National Global Care [1035]	$2,211	907%
Gilsbar [1425]	$2,211	907%
Healthnet [1495]	$2,211	907%
Mutual Of Omaha [1685]	$2,211	907%
New Era Life Insurance Company [1705]	$2,211	907%
Pan American Life Insurance Co [1770]	$2,211	907%
Trustmark [2030]	$2,211	907%
Universal Fidelity [2085]	$2,211	907%
Pending Ssi [1616]	$2,512	1030%

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 $754.
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 Hillcrest Hospital Cushing 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.