CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Memorial Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $296
  • Cash Discount Price: $519
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Memorial Medical Center is $296. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $519. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$519

Average discount available for prompt cash payment at this facility.

Insurance Median
$296

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: $519 (213%)
Insurance Median: $296 (121%)
Cash: $519 (213% of Medicare)
Ins. Median: $296 (121% 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
Triwest Va Pccc-All Plans $31 - $359 13%
Amerigroup Mcr Adv-All Other Plans $32 - $366 13%
Care Improvement Plus - All Other Plans $32 - $366 13%
Care Improvement Plus Mcr $32 - $370 13%
Superior Allwell Mcr Adv-All Other Plans $32 - $366 13%
UnitedHealthcare $32 - $1,046 13%
Universal American Mcr-All Other Plans $32 - $366 13%
Universal American Snp $33 - $384 14%
Coventry First Hlth Hmo Ppo-All Other Plans $39 - $1,046 16%
Coventry First Hlth Mcr Adv $39 - $366 16%
Galaxy Health Network-All Plans $46 - $1,111 19%
Capstar Health Network-All Plans $47 - $1,046 19%
Cigna $47 - $980 19%
Ambetter / Centene $56 - $439 23%
Healthcare Highways-All Plans $114 - $1,046 47%
Prime Healthcare Services-All Plans $122 - $915 50%
Blue Cross Blue Shield $131 - $337 54%
Humana $140 - $1,046 57%
Corvel Work Comp-All Plans $149 - $1,111 61%
Independent Med Sys Ppo-All Plans $149 - $1,111 61%
Multiplan Mcr Adv $149 - $366 61%
Multiplan Phcs Ppo-All Other Plans $149 - $1,111 61%
Provider Select Ppo-All Plans $149 - $1,111 61%
Three Rivers Ppo-All Plans $149 - $1,111 61%
Usa Mso - All Plans $149 - $1,111 61%
Amerigroup Chip $175 - $627 72%
Amerigroup Star $175 - $627 72%
Amerigroup Star Kids $175 - $627 72%
Amerigroup Star Plus $175 - $627 72%
Comm Health Chip $175 - $627 72%
Comm Health Perinatal-All Other Plans $175 - $627 72%
Molina Chip/Star-All Plans $175 - $627 72%
Scott & White Chip/Star-All Plans $175 - $627 72%
Superior Chip/Star $175 - $627 72%
Texas Childrens Hp - All Plans $175 - $627 72%
Comm Health Mcaid Hmo $183 - $659 75%
Comm Health Star $183 - $659 75%
Aetna $1,046 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals