CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Texas Health Harris Methodist Fort Worth

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,251
Cash Discount Price: $1,232
vs. Medicare Baseline: 5.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Texas Health Harris Methodist Fort Worth is $1,251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,232. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.13x the Medicare baseline. Located in 1301 Pennsylvania Avenue, Fort Worth, TX.

Cash / Self-Pay

$1,232

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,251

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: $1,232 (505%)

Insurance Median: $1,251 (513%)

Cash: $1,232 (505% of Medicare)

Ins. Median: $1,251 (513% 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 513% of the Medicare baseline (a markup of 413%). 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
Amerigroup	$185 - $252	76%
Blue Cross Blue Shield	$185 - $1,912	76%
Cook Childrens	$185	76%
UnitedHealthcare	$185 - $784	76%
Superior Wellcare	$194 - $264	80%
Molina	$200 - $252	82%
Aetna	$203 - $1,462	83%
American Health	$240	98%
Healthspring	$244	100%
Humana	$249	102%
Fort Worth Firefighters	$888 - $1,273	364%
City Of Fort Worth	$950 - $980	390%
Cigna	$1,117 - $1,962	458%
Quick Trip	$1,212 - $1,314	497%
Phcs	$1,404 - $1,554	576%
Healthsmart	$1,516 - $1,752	622%
Multiplan	$1,758 - $1,814	721%
Galaxy	$1,778 - $1,835	729%
Usa	$1,778 - $1,835	729%

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 $1,232.
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 Texas Health Harris Methodist Fort Worth 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.