CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cook Childrens Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $505
Cash Discount Price: $947
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cook Childrens Medical Center is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $947. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.07x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$947

Average discount available for prompt cash payment at this facility.

Insurance Median

$505

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: $947 (388%)

Insurance Median: $505 (207%)

Cash: $947 (388% of Medicare)

Ins. Median: $505 (207% 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 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Plan W. Uhrip	$167 - $480	69%
Health Plan W/O Uhrip	$167 - $303	69%
Rightcare	$174 - $422	71%
Aetna	$238 - $1,073	98%
Beacon	$303 - $556	124%
Firstcare	$303 - $1,010	124%
Wellpoint	$309	127%
Superior Health	$318	130%
Molina	$444	182%
Blue Cross Blue Shield	$456 - $1,136	187%
United Community	$505	207%
El Paso Health First	$556	228%
Tx Children Health	$556	228%
UnitedHealthcare	$556 - $1,073	228%
S&W Health	$1,061	435%
Cigna	$1,073	440%
Healthscope	$1,073	440%
Imagine Health	$1,073	440%
Humana	$1,098 - $1,111	450%
Multiplan	$1,098	450%
First Health	$1,111	456%
Galaxy Health	$1,136	466%
Healthsmart	$1,136	466%
Usamco	$1,162	477%

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 $947.
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 Cook Childrens 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.