CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Dell Children's Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $690
Cash Discount Price: $1,836
vs. Medicare Baseline: 2.83x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Dell Children's Medical Center is $690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,836. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.83x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$1,836

Average discount available for prompt cash payment at this facility.

Insurance Median

$690

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: $1,836 (753%)

Insurance Median: $690 (283%)

Cash: $1,836 (753% of Medicare)

Ins. Median: $690 (283% 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 283% of the Medicare baseline (a markup of 183%). 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
Tricare	$148	61%
Ambetter / Centene	$153 - $189	63%
Champva	$170 - $190	70%
Blue Cross Blue Shield	$184 - $679	75%
Dell Chip/Chip Perinate	$184 - $186	75%
Dell Star	$184 - $186	75%
UnitedHealthcare	$184 - $186	75%
Wellpoint Star	$184 - $186	75%
Wellpoint Star Plus	$184 - $189	75%
Wellpoint Chip/Chip Perinate	$186 - $189	76%
Wellpoint Star Kids	$189	78%
Seton Performance Plus	$500	205%
Superior Star	$623 - $1,154	256%
Superior Star Foster	$623 - $1,154	256%
Superior Star Kids	$623 - $1,154	256%
Superior Star Plus	$623 - $1,154	256%
Superior Chip/Chip Perinate	$700 - $1,298	287%
Aetna	$716 - $2,452	294%
Cigna	$716	294%
Covenant Health	$903 - $2,452	370%

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 $1,836.
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 Dell Children's 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.