CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Comanche County Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $256
Cash Discount Price: $452
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Comanche County Medical Center is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $452. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.05x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$452

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $452 (185%)

Insurance Median: $256 (105%)

Cash: $452 (185% of Medicare)

Ins. Median: $256 (105% 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
Choicecare Comm - All Other Plans	$32 - $475	13%
Choicecare Mcr Adv	$32 - $475	13%
Humana	$32 - $899	13%
Molina Mcr Adv - All Other Plans	$32 - $475	13%
Pphp Mcr Adv - All Plans	$32 - $475	13%
Superior Epo/Hmo - All Plans	$32 - $475	13%
Swhp Comm - All Other Plans	$32 - $1,027	13%
Swhp Mcr Adv	$32 - $475	13%
Wellmed Mcr Adv - All Plans	$32 - $475	13%
Aetna	$33 - $809	14%
First Care Hmo - All Other Plans	$33 - $1,091	14%
First Care Hmo Self Funded	$33 - $1,091	14%
Occunet - All Plans	$38 - $963	16%
Alliance Wc - All Plans	$47 - $713	19%
Blue Cross Blue Shield	$51 - $427	21%
Cigna	$69 - $835	28%
Molina Mcaid	$106 - $809	43%
Swhp Mcaid	$106 - $809	43%
Mpi - All Plans	$1,156	474%

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 $452.
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 Comanche County Medical Center 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.