CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,178
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.83x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Texas M. D. Anderson Cancer Center is $1,178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.83x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,178

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%)

Insurance Median: $1,178 (483%)

Ins. Median: $1,178 (483% 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 483% of the Medicare baseline (a markup of 383%). 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
Texaschildrens	$24 - $741	10%
Tricare	$27 - $1,262	11%
UnitedHealthcare	$27 - $1,262	11%
Vacare	$27 - $741	11%
Medicare (plans)	$38 - $741	16%
Blue Cross Blue Shield	$58 - $1,212	24%
Aetna	$66 - $1,262	27%
Cigna	$71 - $1,262	29%
Humana	$286 - $1,296	117%
Ontarioministriesofhealth	$352 - $1,245	144%
Beijingst.Lucia	$357 - $1,262	146%
Embassyofqatar	$357 - $1,262	146%
Memorialhermannhealth	$357 - $1,262	146%
Emergingtherapysolutions_Cancercare	$381 - $1,346	156%
Interlink_Cancercare	$381 - $1,346	156%
Saudiarmedforces	$381 - $1,346	156%
Uae_Medical	$381 - $1,346	156%
Uaepoliceattache	$381 - $1,346	156%
Multiplan	$383 - $1,447	157%
Phcs	$383 - $1,447	157%
Healthsmart	$405 - $1,431	166%
Vantage	$405 - $1,431	166%
Emergingtherapysolutions	$1,262 - $1,346	518%
Interlink	$1,262 - $1,431	518%

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 $X.
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 University of Texas M. D. Anderson Cancer Center 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.