CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ascension Seton Hays

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $234
  • Cash Discount Price: $944
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ascension Seton Hays is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $944. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 6001 Kyle Pkwy, Kyle, TX.
Cash / Self-Pay
$944

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $944 (387%)
Insurance Median: $234 (96%)
Cash: $944 (387% of Medicare)
Ins. Median: $234 (96% 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.

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 - $234 61%
Ambetter / Centene $153 - $422 63%
Champva $170 - $190 70%
Blue Cross Blue Shield $184 - $679 75%
Dell Chip/Chip Perinate $184 - $189 75%
Dell Star $184 - $186 75%
UnitedHealthcare $184 - $239 75%
Wellpoint Star $184 - $186 75%
Wellpoint Star Plus $184 - $189 75%
Wellpoint Chip/Chip Perinate $186 - $189 76%
Wellpoint Star Kids $189 78%
Aarp Mc Wellmed $230 94%
Sendero Chap $232 95%
Addr Cancer Together $234 96%
Aetna $234 - $2,452 96%
Covid Hrsa $234 96%
Cshcn Cidc $234 96%
Devoted Health Mcr Replacement $234 96%
Humana $234 96%
Medicare (plans) $234 96%
Research Study $234 96%
Smarthealth $234 96%
Superior Allwell $234 96%
Utmb $234 96%
Wellcare Med Advantage $234 96%
Connected Senior Care $241 99%
Pphp Mcr Advantage $246 101%
Tx Independence Hp $246 101%
Occunet $328 135%
Sendero Idealcare $410 168%
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%
Cigna $716 294%
Covenant Health $903 - $2,452 370%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6001 Kyle Pkwy, Kyle, TX 78640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals