CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical Center Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $395
Cash Discount Price: $948
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical Center Hospital is $395. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $948. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.62x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$948

Average discount available for prompt cash payment at this facility.

Insurance Median

$395

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: $948 (389%)

Insurance Median: $395 (162%)

Cash: $948 (389% of Medicare)

Ins. Median: $395 (162% 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.

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
Corvel Wc	$151 - $176	62%
Medicaid / KanCare	$185 - $194	76%
Superior Chips	$185	76%
UnitedHealthcare	$185 - $1,482	76%
Ambetter / Centene	$190 - $248	78%
Amerigroup	$190	78%
Blue Cross Blue Shield	$190 - $637	78%
Community Health Choice	$190	78%
First Care Health Plan	$190	78%
Superior Health Plan	$190	78%
Aetna	$227 - $978	93%
Humana	$227	93%
Novitas Solutions	$236	97%
Triwest Va Ccn	$236	97%
Care Improvement Plus	$240	98%
Wellcare By Allwell	$248	102%
Group Resources	$288	118%
Health Select	$301 - $637	123%
Workers Comp	$479	196%
Caprock	$593 - $711	243%
Healthsmart Preferred Care	$593 - $889	243%
90 Degree Benefits	$711	292%
Cigna	$732 - $750	300%
State Comptroller	$741	304%
Texas Mutual Wc	$978	401%
Geha	$1,009	414%
Firstcare	$1,037	425%

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 $948.
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 Medical Center Hospital 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.