CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical City Las Colinas

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,421
  • Cash Discount Price: $6,214
  • vs. Medicare Baseline: 5.83x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical City Las Colinas is $1,421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,214. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.83x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$6,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,421

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: $6,214 (2549%)
Insurance Median: $1,421 (583%)
Cash: $6,214 (2549% of Medicare)
Ins. Median: $1,421 (583% 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 583% of the Medicare baseline (a markup of 483%). 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
Amerigroup $189 78%
Cook Childrens Health Plan $189 78%
United $189 - $1,621 78%
Cigna $198 - $1,275 81%
Aetna $204 - $6,646 84%
Molina $208 - $211 85%
Parkland Community Health Plan $208 85%
Superior Health Plan $209 - $637 86%
Humana $236 - $1,118 97%
Blue Cross Blue Shield $386 - $4,042 158%
Oscar $622 - $1,894 255%
Healthcare Highways $733 - $3,077 301%
Evry Health $772 - $2,349 317%
Unicare $1,047 - $9,105 430%
Curative Administrators $1,197 - $3,642 491%
City Of Mckinney $1,347 - $4,097 553%
National Choicecare $1,496 - $4,552 614%
Pc Texas Partners $1,646 - $5,008 675%
Physicians Coop Of Tx $1,646 - $5,008 675%
Rockport Health Group $1,646 - $5,008 675%
Averde Health, Inc $1,736 - $5,281 712%
Coastal Comp Health Networks $2,095 - $6,373 859%
Mega Life $2,095 - $6,373 859%
Multiplan Phcs $2,095 - $6,373 859%
Healthsmart Preferred Care $2,125 - $6,464 872%
Lewisville Isd/Dls Consulting $2,244 - $6,828 921%
Usa Managed Care $2,394 - $7,284 982%
Usc Health Services $2,394 - $7,284 982%
Galaxy Health Network $2,543 - $7,739 1043%
Independent Medical Systems $2,992 - $9,105 1227%
National Healthcare Solutions $2,992 - $9,105 1227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals