CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ascension Seton Edgar B Davis

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $290
Cash Discount Price: $611
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ascension Seton Edgar B Davis is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.19x the Medicare baseline. Located in 130 Hays Street, Luling, TX.

Cash / Self-Pay

$611

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $611 (251%)

Insurance Median: $290 (119%)

Cash: $611 (251% of Medicare)

Ins. Median: $290 (119% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$145 - $679	59%
Dell Star	$145 - $290	59%
UnitedHealthcare	$145 - $290	59%
Wellpoint Star	$145 - $290	59%
Wellpoint Star Plus	$145 - $294	59%
Tricare	$148	61%
Ambetter / Centene	$153 - $189	63%
Champva	$170 - $190	70%
Dell Chip/Chip Perinate	$184 - $294	75%
Wellpoint Chip/Chip Perinate	$186 - $294	76%
Wellpoint Star Kids	$189 - $294	78%
Seton Performance Plus	$500	205%
Superior Star	$679	279%
Superior Star Foster	$679	279%
Superior Star Kids	$679	279%
Superior Star Plus	$679	279%
Cigna	$716	294%
Superior Chip/Chip Perinate	$763	313%
Aetna	$780 - $1,442	320%
Covenant Health	$984 - $1,442	404%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $611.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ascension Seton Edgar B Davis is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.