CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: De Tar Hospital Navarro

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $349
  • Cash Discount Price: $1,891
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at De Tar Hospital Navarro is $349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,891. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.43x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$1,891

Average discount available for prompt cash payment at this facility.

Insurance Median
$349

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: $1,891 (776%)
Insurance Median: $349 (143%)
Cash: $1,891 (776% of Medicare)
Ins. Median: $349 (143% 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
Medicaid / KanCare $185 - $607 76%
Scott & White $185 76%
UnitedHealthcare $185 - $2,113 76%
Blue Cross Blue Shield $188 - $1,550 77%
Superior $194 - $487 80%
Tricare $228 - $240 94%
Veterans Eval Services $228 94%
Humana $236 97%
Medicare (plans) $236 97%
Department Of Veterans Affairs $240 98%
Node Hospice Non Par Agree $240 98%
Node Triwest $240 98%
Node Va $240 98%
Aetna $243 - $4,226 100%
American Health Mcr Adv $245 101%
Provider Partners Health Plan $247 101%
Node Amerigroup Mcr Adv $248 102%
Node Procare Mcr Adv $248 102%
Industrial Rehab $276 113%
Node Us Dept Of Labor $300 123%
Node Brookshire Brothers $419 172%
Amerigroup $437 179%
Node Brookshire Brothers Work Comp Tx $446 183%
Work Comp $479 196%
Elap $527 216%
Dars $1,705 699%
Tx Workforce Commission $1,705 699%
Cigna $1,765 - $3,188 724%
Healthsmart $4,078 - $5,190 1673%
Multiplan $4,819 - $5,931 1977%
First Health $5,042 2068%
Medcorp Southwest Inc $5,190 2129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals