CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Beaumont Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $418
  • Cash Discount Price: $543
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Baptist Beaumont Hospital is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $543. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.71x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$543

Average discount available for prompt cash payment at this facility.

Insurance Median
$418

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: $543 (223%)
Insurance Median: $418 (171%)
Cash: $543 (223% of Medicare)
Ins. Median: $418 (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
Aetna $240 - $2,174 98%
Ameri-Plus Ppo-All Plans $240 98%
Blue Cross Blue Shield $240 - $355 98%
Cigna $240 - $1,814 98%
Superior Health Plan Mcr Adv $240 98%
Texan Plus-All Plans $240 98%
Superior Health Plan Comm - All Other Plans $276 113%
Texas Exchange Plans - All Plans $276 113%
Correctcare - All Plans $360 148%
Naphcare Inc - All Plans $360 148%
Texas School Health Benefits - All Plans $360 148%
Preferred Care Services - All Plans $407 167%
Americhoice - All Plans $418 171%
Amerigroup - All Plans $418 171%
Community Health Choice - All Plans $418 171%
Medicaid / KanCare $418 - $543 171%
Tchp Chips - All Plans $418 171%
Beacon Health - All Plans $481 197%
Brookshire Brothers - All Plans $539 221%
Signature Health - All Plans $1,306 536%
Central Healthcare Services - All Plans $2,090 857%
Humana $2,090 - $2,525 857%
Mhhnp-All Plans $2,090 857%
Imagine Healthcare (Smartcare) - All Plans $2,299 943%
Pponext - All Plans $2,717 1115%
Multiplan - All Plans $2,926 1200%
Phcs - All Plans $2,926 1200%
First Health - All Plans $3,135 1286%
Healthsmart - All Plans $3,135 1286%
Managed Healthcare Inc - All Plans $3,135 1286%
Blue Bell - All Plans $3,344 1372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals