CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical City Arlington

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $723
  • Cash Discount Price: $3,827
  • vs. Medicare Baseline: 2.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical City Arlington is $723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,827. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.97x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$3,827

Average discount available for prompt cash payment at this facility.

Insurance Median
$723

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: $3,827 (1570%)
Insurance Median: $723 (297%)
Cash: $3,827 (1570% of Medicare)
Ins. Median: $723 (297% 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 297% of the Medicare baseline (a markup of 197%). 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 - $719 78%
Cigna $198 - $851 81%
Aetna $204 - $2,782 84%
Molina $208 - $211 85%
Humana $236 - $1,118 97%
Superior Health Plan $268 110%
Blue Cross Blue Shield $386 - $1,699 158%
Unicare $727 - $3,827 298%
Oscar $796 327%
Healthcare Highways $938 - $1,294 385%
Evry Health $987 405%
Curative Administrators $1,531 628%
City Of Mckinney $1,722 706%
Fidelis Securecare $1,722 706%
Global Sports Services $1,913 785%
National Choicecare $1,913 785%
Pc Texas Partners $2,105 864%
Physicians Coop Of Tx $2,105 864%
Rockport Health Group $2,105 864%
Averde Health, Inc $2,220 911%
Coastal Comp Health Networks $2,679 1099%
Mega Life $2,679 1099%
Multiplan Phcs $2,679 1099%
Healthsmart Preferred Care $2,717 1115%
Lewisville Isd/Dls Consulting $2,870 1177%
Usa Managed Care $3,062 1256%
Usc Health Services $3,062 1256%
Galaxy Health Network $3,253 1334%
Texas Instruments $3,444 1413%
Independent Medical Systems $3,827 1570%
National Healthcare Solutions $3,827 1570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals