CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Laredo Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $750
  • Cash Discount Price: $663
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Laredo Medical Center is $750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $663. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.08x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$663

Average discount available for prompt cash payment at this facility.

Insurance Median
$750

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: $663 (272%)
Insurance Median: $750 (308%)
Cash: $663 (272% of Medicare)
Ins. Median: $750 (308% 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 308% of the Medicare baseline (a markup of 208%). 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
Self Pay $150 - $313 62%
Medicaid / KanCare $185 - $374 76%
Molina $185 - $375 76%
UnitedHealthcare $185 - $685 76%
Blue Cross Blue Shield $188 - $700 77%
Amerigroup $194 80%
Cigna $194 - $1,539 80%
Superior $194 - $394 80%
Veterans Eval Services $228 94%
Node Hospice Non Par Agree $229 94%
Humana $236 97%
Medicare (plans) $236 97%
Node Champva $240 98%
Node Ice Health Service Corps $240 98%
Node Va $240 98%
Tricare $240 98%
Triwest $240 98%
Aetna $243 - $1,394 100%
American Health $245 101%
Provider Partners Health Plan $247 101%
Node Amerigroup Mcr Adv $248 102%
Node Tihp Mcr Adv $248 102%
Node Wellpoint Mcr Adv $252 103%
Industrial Rehab $276 113%
Node Us Dept Of Labor $300 123%
Node Molina Health Exchange $398 163%
Node Brookshire Brothers $419 172%
Node Brookshire Brothers Work Comp Tx $446 183%
Coventry Hcn Tx Work Comp $455 187%
Health Smart $455 - $1,683 187%
Node Superior Commercial Exchange $479 196%
Tx Work Comp $479 196%
Imo Work Comp $551 226%
Node Naphcare $551 226%
Tx Workforce Commission $706 - $793 290%
Mutual Of Omaha $1,391 - $2,284 571%
Multiplan Primary $1,605 - $1,803 658%
Medical Control $1,776 - $1,996 729%
Accountable Health Plans $1,819 - $2,164 746%
Health Headquarters $1,819 - $2,044 746%
Multiplan $1,862 - $2,092 764%
Nha $1,883 - $2,116 772%
Galaxy Health Network $1,894 - $2,128 777%
Cchn $1,926 - $2,164 790%
Nppn Plan Vista $1,926 - $2,164 790%
Ppo Next $1,926 - $2,164 790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals