CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Riverview Regional Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$203

about 0.8× the $244 Medicare rate · typically $203–$225

modeled estimate · not a bill or quote

What this hospital charges insurers

$213

About the fair price

about $10 over the fair price · 0.9× Medicare

Medicare pays $244 Fair price $203 This hospital $213 Cash price $212 Hospital's list price $1,610

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $128 Priciest $213

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $203 (about 0.8× the $244 Medicare rate). Riverview Regional Medical Center charges insurers about $213, or about $212 in cash — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$213 - $766	87%
Blue Cross Blue Shieldmajor	$213 - $214	87%
Cignamajor	$213	87%
Humanamajor	$202	83%
Devoted Health	$217	89%
+ 6 smaller / regional plans	$211 - $426

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 212), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Riverview Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Riverview Regional Medical Center

Compare: Ultrasound, leg veins (duplex) at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.