CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hillcrest Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,070
Cash Discount Price: $1,196
vs. Medicare Baseline: 8.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hillcrest Medical Center is $2,070. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,196. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.49x the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$1,196

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,070

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: $1,196 (491%)

Insurance Median: $2,070 (849%)

Cash: $1,196 (491% of Medicare)

Ins. Median: $2,070 (849% 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 849% of the Medicare baseline (a markup of 749%). 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
Oncology Patient Assistance Programs [2295]	$997	409%
Hooray Health [8000]	$997	409%
Oscar Insurance Company [7005]	$997	409%
Black Lung [6055]	$997	409%
Healthcare Highways [2210]	$997 - $1,539	409%
Osma Health Network [2345]	$997	409%
Lucent Health [6000]	$997	409%
UnitedHealthcare	$1,267	520%
Healthscope Benefits [2290]	$1,267	520%
Web Tpa [2115]	$1,539 - $1,639	631%
Resource One Administrators [2815]	$1,539	631%
Aetna	$1,639	672%
Meritain Health [1655]	$1,639	672%
The Kempton Group Administrators [2905]	$1,795	736%
Pba [1775]	$2,070	849%
National Association of Letter Carriers [1695]	$2,070	849%
Medica [2910]	$2,265	929%
Multiplan [1680]	$2,265 - $3,430	929%
PHCS [1780]	$2,911 - $3,430	1194%
Employee Benefit Management Services [2445]	$2,911	1194%
Allied Benefit Systems Inc [1030]	$3,430	1407%
Universal Fidelity [2085]	$3,430	1407%
Mutual of Omaha [1685]	$3,430	1407%
Healthfirst [2395]	$3,430	1407%
Hometown Health [2155]	$3,430	1407%
Administrative Concepts [1005]	$3,430	1407%
Pan American Life Insurance Co [1770]	$3,430	1407%
New Era Life Insurance Company [1705]	$3,430	1407%
Mayo Clinic Health Solutions [2280]	$3,430	1407%
Planned Administrators Inc [2360]	$3,430	1407%
Allied National Global Care [1035]	$3,430	1407%
Healthcost Solutions [2415]	$3,430	1407%
Trustmark [2030]	$3,430	1407%
Pending Ssi [1616]	$3,988	1636%

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 $1,196.
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 Hillcrest Medical Center 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.