CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Titus Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $135
  • Cash Discount Price: $604
  • vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Titus Regional Medical Center is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $604. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.55x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.
Cash / Self-Pay
$604

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $604 (248%)
Insurance Median: $135 (55%)
Cash: $604 (248% of Medicare)
Ins. Median: $135 (55% 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
Christus Health Plan $24 - $242 10%
Humana $24 - $704 10%
Tricare $24 - $242 10%
Triwest $24 - $242 10%
UnitedHealthcare $24 - $805 10%
Texas Mutual $25 - $249 10%
Curative $26 - $725 11%
Superior $28 - $305 11%
Healthcare Highways $29 - $402 12%
Blue Cross Blue Shield $32 - $1,006 13%
Claritev $34 - $805 14%
Aetna $50 - $278 21%
Healthsmart $80 - $704 33%
Cigna $92 - $805 38%
Galaxy Health $109 - $956 45%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals