CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Corpus Christi Medical Center,The

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,145
  • Cash Discount Price: $5,962
  • vs. Medicare Baseline: 4.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Corpus Christi Medical Center,The is $1,145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,962. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.70x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.
Cash / Self-Pay
$5,962

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,145

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: $5,962 (2446%)
Insurance Median: $1,145 (470%)
Cash: $5,962 (2446% of Medicare)
Ins. Median: $1,145 (470% 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 470% of the Medicare baseline (a markup of 370%). 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 $185 76%
Amerigroup $189 78%
Christus Mcd $189 78%
Driscoll Children'S Health Plan $196 80%
United $196 - $2,683 80%
Aetna $207 - $2,415 85%
Molina Healthcare $208 85%
Humanna $236 97%
Texas Athletic Network $300 - $600 123%
Superior Health Plan $358 147%
Blue Cross Blue Shield $437 - $2,301 179%
Cigna $677 - $4,770 278%
Humana $1,092 448%
Healthcare Highways $1,145 470%
Texas Workforce Commission $1,431 587%
Averde Health $1,967 807%
Curative Administrators $2,385 978%
Healthsmart Preferred Care $2,564 - $5,068 1052%
Fidelis Securecare Of Tx $2,683 1101%
Physicians Cooperative Of Texas $3,279 1345%
Multiplan Phcs $3,577 1467%
National Healthcare Solutions $3,577 1467%
Olympus Managed Healthcare $3,577 1467%
Southwest Medical $3,577 1467%
Usc Health Services $3,577 1467%
First Health $3,679 1509%
Coastal Comp $3,875 1590%
Newton Ppo $4,173 1712%
Texas True Choice $4,472 1835%
Beech Street $4,770 1957%
Usa Managed Care $4,770 1957%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3315 S Alameda St, Corpus Christi, TX 78411
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals