CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: North Austin Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $403
  • Cash Discount Price: $1,066
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at North Austin Medical Center is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,066. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$1,066

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $1,066 (437%)
Insurance Median: $403 (165%)
Cash: $1,066 (437% of Medicare)
Ins. Median: $403 (165% 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
Superior Health Plan $37 - $433 15%
Oscar $42 - $545 17%
Moda $51 - $598 21%
United $54 - $1,146 22%
Covenant Management Systems $63 - $733 26%
Healthcare Highways $63 - $764 26%
Blue Cross Blue Shield $64 - $941 26%
Imo Med - Select Network $65 - $764 27%
Nomi Health $70 - $942 29%
Moda Health $78 - $942 32%
Evry Health $80 - $937 33%
Texas Healthcare Foundation Heb $81 - $942 33%
Texas Workforce Commission $85 - $993 35%
Curative Administrators $87 - $1,018 36%
Harbor Health Team $87 - $1,018 36%
Averde Health $98 - $1,146 40%
UnitedHealthcare $98 - $1,146 40%
Comanche County $109 - $1,273 45%
National Choicecare $109 - $1,273 45%
Healthsmart Preferred Care $120 - $2,037 49%
Independent Medical Systems $120 - $1,400 49%
Physicians Cooperative Of Texas $120 - $1,400 49%
Prime Health $131 - $1,528 54%
First Health $136 - $1,808 56%
Amerigroup $141 58%
Coastal Comp Health Networks $142 - $1,655 58%
National Health Care $142 - $1,655 58%
Texas Municipal League $153 - $1,782 63%
Medcorp Southwest $164 - $1,910 67%
Rockport Healthcare Group $174 - $2,291 71%
St David’S Hospice $189 78%
Bce Emergis Corporation $196 - $2,291 80%
Beech Street $196 - $2,291 80%
Medical Control Network Solutions $196 - $2,291 80%
Multiplan $196 - $2,291 80%
Molina Healthcare $208 85%
Humana $236 97%
Sendero $236 97%
Aetna $238 - $12,950 98%
Cigna $312 - $398 128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals