Ultrasound, leg veins (duplex)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $536
- Cash Discount Price: $715
- vs. Medicare Baseline: 2.20x 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 220% of the Medicare baseline (a markup of 120%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $429 | 176% |
| Americas Choice Provider Network | $500 | 205% |
| Quiktrip Corporation | $536 | 220% |
| Provider Network Of America | $536 | 220% |
| Usa Managed Care Organization | $536 | 220% |
| Velocity | $536 | 220% |
| Multiplan-Phcs | $572 | 235% |
| Prime Health Services | $607 | 249% |
| Medincrease | $643 | 264% |
Consumer Guidance & Cost Commentary
For the ultrasound of leg veins (duplex) performed at the Rehabilitation Hospital Of Overland Park in Overland Park, KS, the cash price is $715.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $243.77, reflecting a markup of 2.2 times the federal baseline. While commercial insurance plans like Blue Cross Blue Shield and Prime Health Services have negotiated rates ranging from $429 to $643, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate of $715.00 directly can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the patient's deductible has not yet been met or if the negotiated rate exceeds the cash amount.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. It is important to request a waiver of insurance submission before check-in to ensure the facility applies the cash rate rather than submitting a claim that could void the discount. Additionally, consumers should avoid accepting summary bills and instead demand a full itemized statement to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. By comparing the facility's rates against the Medicare benchmark and actively seeking prompt-pay options, patients can avoid unexpected costs and ensure they are paying a fair price for their care.