CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $271
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Oklahoma Heart Hospital, LLC is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.11x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$271

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: $169 (69%)
Insurance Median: $271 (111%)
Cash: $169 (69% of Medicare)
Ins. Median: $271 (111% 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.

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
Healthcare Highways $121 - $290 50%
Aetna $123 - $334 50%
Humana $123 - $334 50%
Healthscope $223 91%
Oscar Insurance Company $223 91%
Webtpa Chickasaw Nation Hch $227 93%
Blue Cross Blue Shield $229 - $568 94%
Cigna $229 - $339 94%
Medicare (plans) $229 - $236 94%
UnitedHealthcare $229 - $244 94%
Va Ccn $229 94%
Veterans Eval Services $229 94%
Geha $244 100%
Webtpa Hobby Lobby Hch $257 105%
Coventry $286 117%
Global Health $305 125%
Sana Benefits $315 129%
Ufcw $315 129%
Ambetter / Centene $321 132%
First Health Network $334 137%
Manhattan Life $334 137%
Community Care $339 - $459 139%
Phcs $339 139%
Preferred Community Choice $368 151%
Multiplan $436 179%
The Kempton Group $574 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals