CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Christus Santa Rosa Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $417
  • Cash Discount Price: $1,146
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Christus Santa Rosa Medical Center is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,146. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.71x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$1,146

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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: $1,146 (470%)
Insurance Median: $417 (171%)
Cash: $1,146 (470% of Medicare)
Ins. Median: $417 (171% 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
Amerigroup $78 - $506 32%
Community First $78 - $506 32%
UnitedHealthcare $184 - $1,094 75%
Aetna $227 - $2,530 93%
Allwell $227 93%
Blue Cross Blue Shield $227 - $579 93%
Christus Health $227 - $318 93%
Coventry $227 93%
Humana $227 - $360 93%
Molina $227 - $294 93%
Superior $227 - $294 93%
Texas Healthspring $227 93%
Triwest $227 93%
Wellcare $227 93%
Provider Partners Health Plan $234 96%
Texas Independence Health Plan $234 96%
Shared Health Insurance Company $238 98%
Us Imaging Network $243 100%
Devoted Health Plan $245 101%
Imperial Health Plan $250 103%
Medicare (plans) $250 103%
Procare Advantage $250 103%
Employer Direct $272 112%
Healthcare Highways $292 - $1,898 120%
Driscoll Children'S Health Plan $294 121%
El Paso First $294 121%
First Care $294 121%
Gilsbar Inc. $295 121%
Texas Childrens Health Plan $309 127%
Community First Health Plan $330 - $2,151 135%
Christian Brothers Services $356 - $2,319 146%
First Health $421 - $2,741 173%
Healthsmart $421 - $3,374 173%
Multiplan $421 - $2,741 173%
Phcs $421 - $2,741 173%
Five Point Credit Union $454 - $2,952 186%
Naphcare Inc. $454 186%
Cigna $479 - $607 196%
Medicus Internatiaonal $486 - $3,163 199%
Beech Street $518 - $3,374 212%
Health Management Network $518 - $3,374 212%
Provider Select $518 - $3,374 212%
National Choicecare $616 - $4,006 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals