CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $717
  • Cash Discount Price: $2,980
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Las Palmas Medical Center A Campus of Lpds Healthc is $717. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,980. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.94x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$2,980

Average discount available for prompt cash payment at this facility.

Insurance Median
$717

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: $2,980 (1222%)
Insurance Median: $717 (294%)
Cash: $2,980 (1222% of Medicare)
Ins. Median: $717 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
El Paso First Health Plans $61 - $272 25%
Superior Health Plan $66 - $292 27%
Oscar $113 - $501 46%
Cigna $118 - $1,012 48%
Bienvivir Senior Health $186 - $827 76%
Amerigroup $189 - $198 78%
Centennial Care $189 78%
St David’S Hospice $189 78%
Western Sky Community Care $189 78%
United $192 - $2,189 79%
Aetna $204 - $2,772 84%
Molina Healthcare $208 85%
Healthcare Highways $210 - $934 86%
Humana $236 97%
Curative Administrators $438 - $1,946 180%
First Health $493 - $2,189 202%
Healthsmart Preferred Care $493 - $2,675 202%
Emerging Therapy Solutions $504 - $3,356 207%
Sheriff'S Dept El Paso County Detention $548 - $2,432 225%
Ysleta Del Sur Pueblo $548 - $2,432 225%
Southwest Medical Provider Network $602 - $2,675 247%
Advantage Care Network $657 - $2,918 270%
El Paso First Health Plan $657 - $2,918 270%
Prime Health $657 - $2,918 270%
Texas Workforce Commission $690 - $3,064 283%
Multiplan $712 - $3,162 292%
Phcs $712 - $3,162 292%
Blue Cross Blue Shield $722 - $1,232 296%
Integrated Medical Systems $766 - $3,405 314%
Samsa $766 - $3,405 314%
Danmark - International Contract $821 - $3,648 337%
Galaxy Health Network $821 - $3,648 337%
Medcorp Southwest $876 - $3,891 359%
Usa Managed Care $898 - $4,621 368%
Affiliated Healthcare $931 - $4,134 382%
National Provider Network $986 - $4,378 404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals