CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Seton Medical Center Harker Heights

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $682
Cash Discount Price: $129
vs. Medicare Baseline: 2.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Seton Medical Center Harker Heights is $682. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.80x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$129

Average discount available for prompt cash payment at this facility.

Insurance Median

$682

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: $129 (53%)

Insurance Median: $682 (280%)

Cash: $129 (53% of Medicare)

Ins. Median: $682 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Medicaid / KanCare	$173 - $1,379	71%
Healthscope Benefits [2290]	$232	95%
UnitedHealthcare	$232 - $764	95%
Aetna	$238 - $738	98%
Healthcare Highways [2210]	$502	206%
Oncology Patient Assistance Programs [2295]	$502	206%
Selecthealth [3740]	$502	206%
Web Tpa [2115]	$502 - $1,029	206%
Cigna	$585 - $1,114	240%
American Postal Workers Union [1070]	$608	249%
First Health [1375]	$738	303%
Mailhandlers [1595]	$738	303%
Geha [1415]	$764	313%
Humana	$842 - $929	345%
Blue Cross Blue Shield	$952	391%
First Care Commercial [1371]	$965	396%
Allied Benefit Systems Inc [1030]	$1,029	422%

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 $129.
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 Seton Medical Center Harker Heights 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.