CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Luke's Hospital at the Vintage

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $401
Cash Discount Price: $1,337
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at St Luke's Hospital at the Vintage is $401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,337. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.64x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.

Cash / Self-Pay

$1,337

Average discount available for prompt cash payment at this facility.

Insurance Median

$401

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: $1,337 (548%)

Insurance Median: $401 (164%)

Cash: $1,337 (548% of Medicare)

Ins. Median: $401 (164% 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
Renaissance	$174	71%
Wellpoint	$189 - $363	78%
United	$193 - $1,795	79%
UnitedHealthcare	$193 - $3,155	79%
Blue Cross Blue Shield	$198 - $520	81%
Chc	$217 - $2,100	89%
Cigna	$242 - $2,673	99%
Humana	$242 - $2,482	99%
Kelsey	$242	99%
Selectcare	$242	99%
Aetna	$247 - $373	101%
Amerivantage	$249	102%
Devoted	$259	106%
Scanhealth	$259	106%
Kindred	$266	109%
Tchp	$306 - $409	126%
Kelseycare	$327	134%
Employer Direct	$339	139%
Community Health Choice	$363	149%
Superior Health Plan	$363	149%
Bright Health	$385	158%
Nx Health	$787	323%
Tchpchip	$1,337 - $1,642	548%
Texastruechoice	$2,100	861%
Coventry	$2,482	1018%
First Health	$2,482	1018%
Healthsmart	$2,673	1097%
Interlink	$2,673	1097%
Multiplan	$2,864	1175%
USA Health Network	$3,246	1332%
Mhealth Network	$3,819	1567%

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 $1,337.
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 St Luke's Hospital at the Vintage 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.