CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $309
  • Cash Discount Price: $1,203
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Christus Southeast Texas- St Elizabeth is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,203. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
$1,203

Average discount available for prompt cash payment at this facility.

Insurance Median
$309

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: $1,203 (493%)
Insurance Median: $309 (127%)
Cash: $1,203 (493% of Medicare)
Ins. Median: $309 (127% 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
UnitedHealthcare $184 - $801 75%
Aetna $242 - $2,514 99%
Allwell $242 99%
Arcadian Health Plan $242 99%
Blue Cross Blue Shield $242 - $780 99%
Christus Health $242 - $339 99%
Community Health Choice $242 - $312 99%
Coventry $242 99%
Humana $242 - $431 99%
Molina $242 - $309 99%
Texas Healthspring $242 99%
Triwest $242 99%
Wellcare $242 99%
Provider Partners Health Plan $249 102%
Texas Independence Health Plan $249 102%
Shared Health Insurance Company $254 104%
Us Imaging Network $259 106%
Amerigroup $261 - $309 107%
Devoted Health Plan $261 107%
Imperial Health Plan $266 109%
Medicare (plans) $266 109%
Procare Advantage $266 109%
Superior $294 121%
Texas Childrens Health Plan $309 127%
Adv Cardiovas Specialist $484 199%
Naphcare Inc. $484 199%
Cigna $558 - $714 229%
Healthcare Highways $1,640 673%
Lsu First Choice Verity $1,822 747%
Verity Healthnet $2,186 897%
First Health $2,369 972%
Healthsmart $2,369 - $2,915 972%
Multiplan $2,369 972%
Phcs $2,369 972%
Five Point Credit Union $2,551 1046%
Mct Credit Union $2,551 1046%
Partners Direct Health $2,551 1046%
Beech Street $2,915 1196%
Health Management Network $2,915 1196%
Provider Select $2,915 1196%
Verity Healthnet National $3,097 1270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals