CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hendrick Medical Center Brownwood

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,978
Cash Discount Price: $2,673
vs. Medicare Baseline: 8.11x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hendrick Medical Center Brownwood is $1,978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,673. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.11x the Medicare baseline. Located in 1501 Burnet Dr, Brownwood, TX.

Cash / Self-Pay

$2,673

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,978

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: $2,673 (1097%)

Insurance Median: $1,978 (811%)

Cash: $2,673 (1097% of Medicare)

Ins. Median: $1,978 (811% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 811% of the Medicare baseline (a markup of 711%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Firstcare Star	$194	80%
Superior Health Plan	$222	91%
Wellpoint	$222	91%
UnitedHealthcare	$227 - $1,213	93%
Ambetter / Centene	$515	211%
Healthsmart	$1,871	768%
Blue Cross Blue Shield	$1,898 - $2,245	779%
Aetna	$2,272	932%
Private Healthcare Systems	$2,379	976%
Multiplan	$2,405	987%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,673.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hendrick Medical Center Brownwood is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.