CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: El Paso Children's Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,314
Cash Discount Price: $421
vs. Medicare Baseline: 5.39x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at El Paso Children's Hospital is $1,314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.39x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.

Cash / Self-Pay

$421

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,314

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: $421 (173%)

Insurance Median: $1,314 (539%)

Cash: $421 (173% of Medicare)

Ins. Median: $1,314 (539% 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 539% of the Medicare baseline (a markup of 439%). 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
Blue Cross Blue Shield	$155 - $1,579	64%
Uh Military Va	$160	66%
Health Net Fed Svcs	$172	71%
El Paso Health Plans	$379	155%
Molina Nm	$403	165%
El Paso First Health Plan	$589	242%
Western Sky	$1,116	458%
UnitedHealthcare	$1,511	620%
Aetna	$1,516 - $1,684	622%
Cigna	$1,652	678%
Coventry Health Care	$1,684	691%
Fortified Provider Network	$1,684	691%
Multiplan	$1,684	691%

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 $421.
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 El Paso Children's Hospital 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.