CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Woodland Heights Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $360
  • Cash Discount Price: $1,015
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Woodland Heights Medical Center is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,015. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.48x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$1,015

Average discount available for prompt cash payment at this facility.

Insurance Median
$360

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: $1,015 (416%)
Insurance Median: $360 (148%)
Cash: $1,015 (416% of Medicare)
Ins. Median: $360 (148% 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
Self Pay $225 - $451 92%
Tricare $228 - $240 94%
Veterans Eval Services $228 94%
Humana $236 97%
Medicare (plans) $236 97%
UnitedHealthcare $236 - $1,999 97%
Department Of Veterans Affairs $240 98%
Node Triwest $240 98%
Node Va $240 98%
Blue Cross Blue Shield $241 - $658 99%
American Health Mcr Adv $245 101%
Provider Partners Health Plan $247 101%
Node Amerigroup Mcr Adv $248 102%
Node Procare Advantage $248 102%
Superior $248 - $326 102%
Node Us Dept Of Labor $300 123%
Medicaid / KanCare $305 - $448 125%
Angelina County $360 148%
Corporate Remedies $360 148%
Partners Direct Health $360 148%
Cigna $414 170%
Node Brookshire Brothers $419 172%
Node Brookshire Brothers Work Comp Tx $443 182%
Usa Managed Care $446 183%
Amerigroup $448 184%
Work Comp $479 196%
Texas Rehab Commission $1,127 462%
Aetna $2,390 - $3,833 980%
Multiplan $2,931 - $3,833 1202%
Unicare $3,156 1295%
Galaxy Health Network $3,833 1572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals