Ultrasound, leg veins (duplex)
Facility: Centura St. Catherine-Dodge City
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $1,113
- Cash Discount Price: $677
- vs. Medicare Baseline: 4.57x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 457% of the Medicare baseline (a markup of 357%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $134 | 55% |
| Kaiser | $134 | 55% |
| Blue Cross Blue Shield | $134 - $565 | 55% |
| Humana | $134 | 55% |
| Kansas Health | $134 | 55% |
| Aetna | $134 - $1,354 | 55% |
| Medicare (plans) | $134 | 55% |
| Centura Employee Plan | $293 | 120% |
| UnitedHealthcare | $1,113 | 457% |
| Wpaa | $1,185 | 486% |
| Multiplan | $1,354 - $1,523 | 555% |
| Christian Health Aid | $1,354 | 555% |
| Health Partners Of Kansas | $1,523 | 625% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) at Centura St. Catherine-Dodge City, the cash median price is $677, which is significantly lower than the facility's typical negotiated rates. While the highest negotiated amount found in the data is $1,523, the cash price offers a substantial alternative for patients with high-deductible plans who may not yet have met their out-of-pocket maximum. It is important to note that commercial insurance rates vary widely; for example, Aetna plans range from $134 to $1,354, while UnitedHealthcare and Multiplan have negotiated rates starting at $1,113 and $1,354 respectively. Patients should verify their specific plan's allowed amount before scheduling, as assuming that being in-network guarantees the lowest price can lead to unexpected costs if the insurer's negotiated rate exceeds the cash price.
To ensure you are receiving the most accurate and fair billing, it is recommended to request an itemized bill that details every CPT code and unit cost rather than accepting a summary invoice. Since over 80% of hospital bills contain errors, such as unbundled charges or services not rendered, a line-by-line review is the most effective way to identify and dispute mistakes. Additionally, you should compare the facility's pricing against the Medicare benchmark of $243.77 for this procedure, which serves as an objective baseline for the true cost of care. If you choose to pay cash, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled in full within a short window, bypassing the administrative overhead associated with insurance