CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Okeene Municipal Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $626
Cash Discount Price: $745
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Okeene Municipal Hospital is $626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $745. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.57x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$745

Average discount available for prompt cash payment at this facility.

Insurance Median

$626

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: $745 (306%)

Insurance Median: $626 (257%)

Cash: $745 (306% of Medicare)

Ins. Median: $626 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Pref Community Choice Ppo-All Plans	$140	57%
Blue Cross Blue Shield	$285 - $531	117%
Coventry Mcr Adv	$531	218%
Global Health Mcr Adv	$531	218%
Humana	$531 - $931	218%
Medicare (plans)	$531	218%
UnitedHealthcare	$531 - $662	218%
Cigna	$570	234%
Ihs-All Plans	$603	247%
Ok Complete Health Comm-All Other Plans	$647	265%
Aetna	$652 - $931	267%
Healthchoice Ip Only-All Plans	$652	267%
Global Health-All Other Plans	$690	283%
Healthcare Highways-All Plans	$698	286%
Phcs Savility/Multiplan - All Plans	$698	286%
Medica Commercial-All Other Plans	$716	294%
Community Care Hmo-All Plans	$838	344%
Ok Complete Health Mcaid	$931	382%

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 $745.
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 Okeene Municipal Hospital 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.