CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: The Medical Center of Southeast Texas

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $299
  • Cash Discount Price: $3,349
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at The Medical Center of Southeast Texas is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,349. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.23x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$3,349

Average discount available for prompt cash payment at this facility.

Insurance Median
$299

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: $3,349 (1374%)
Insurance Median: $299 (123%)
Cash: $3,349 (1374% of Medicare)
Ins. Median: $299 (123% 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
League Medical Concepts $185 - $235 76%
Amerigroup $189 - $312 78%
Harbor Hospice $189 78%
Medicaid / KanCare $189 - $511 78%
Superior Healthplan $189 - $213 78%
Texas Childrens Health Plan $189 - $265 78%
Medsolutions $192 79%
Community Health Choice $198 - $260 81%
Community Health Choice Uhrip $198 81%
Molina Healthcare $198 - $293 81%
UnitedHealthcare $198 - $565 81%
Humana $206 - $2,211 85%
Healthspring $213 87%
Medicare (plans) $213 87%
Provider Partners Health Plan $213 87%
Selectcare $213 87%
Tihp (Texas Independence Health Plan) $213 87%
Employer Direct Healthcare $214 - $217 88%
Texas Medical Management Partners $214 - $217 88%
Beacon Health $217 89%
Caresact $217 89%
Hospice $217 89%
Rice Land Hospice $217 89%
Tricare $217 89%
Triwest $217 89%
Cccn Pro Advantage $224 92%
Wellcare Of Texas $224 92%
Blue Cross Blue Shield $227 - $1,383 93%
Wellpath $238 98%
Corporate Remedies $320 131%
Elap Services $420 172%
Texas Workers Compensation $433 178%
Self Pay Emergent $502 206%
Cigna $1,186 - $2,345 487%
Dept Of Assistive And Rehabilitative Services $1,675 687%
Aetna $1,943 - $2,211 797%
Iasis Employees $2,010 825%
Magellan Behavioral Health $2,010 825%
First Health $2,211 907%
Galaxy Health Network $2,345 962%
Private Healthcare Systems $2,345 962%
Texas Municipal League $2,345 962%
Healthsmart $2,512 1030%
Multiplan $2,680 1099%
Commercial Non-Contracted $3,349 1374%
Heart To Heart Hospice $3,349 1374%
Lifesynch $3,349 1374%
Mhnet $3,349 1374%
Self Pay - Mcd Pending 100 Percent $3,349 1374%
Single Case Agreement $3,349 1374%
United Behavioral Health $3,349 1374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals