CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical City Lewisville

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $851
  • Cash Discount Price: $6,808
  • vs. Medicare Baseline: 3.49x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical City Lewisville is $851. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,808. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.49x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$6,808

Average discount available for prompt cash payment at this facility.

Insurance Median
$851

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: $6,808 (2793%)
Insurance Median: $851 (349%)
Cash: $6,808 (2793% of Medicare)
Ins. Median: $851 (349% 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 349% of the Medicare baseline (a markup of 249%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texas Health Network $186 76%
Amerigroup $189 78%
Cook Childrens Health Plan $189 78%
Parkland Community Health Plan $189 78%
United $189 - $1,355 78%
Cigna $198 - $953 81%
Aetna $204 - $4,949 84%
Molina $208 - $211 85%
Humana $236 - $1,118 97%
Blue Cross Blue Shield $386 - $3,023 158%
Superior Health Plan $477 196%
Oscar $1,416 581%
Unicare $1,634 - $6,808 670%
Healthcare Highways $1,668 - $2,301 684%
Evry Health $1,756 720%
Curative Administrators $2,723 1117%
City Of Mckinney $3,064 1257%
Fidelis Securecare $3,064 1257%
National Choicecare $3,404 1396%
Pc Texas Partners $3,744 1536%
Physicians Coop Of Tx $3,744 1536%
Rockport Health Group $3,744 1536%
Averde Health, Inc $3,949 1620%
Usc Health Services $4,085 1676%
Coastal Comp Health Networks $4,766 1955%
Jostens $4,766 1955%
Mega Life $4,766 1955%
Multiplan Phcs $4,766 1955%
Healthsmart Preferred Care $5,106 2095%
Lewisville Isd/Dls Consulting $5,106 2095%
Usa Managed Care $5,446 2234%
Galaxy Health Network $5,787 2374%
Independent Medical Systems $6,808 2793%
National Healthcare Solutions $6,808 2793%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals