CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$210

about 0.9× the $244 Medicare rate · typically $209–$237

modeled estimate · not a bill or quote

What this hospital charges insurers

$223

About the fair price

about $13 over the fair price · 0.9× Medicare

Medicare pays $244 Fair price $210 This hospital $223 Cash price $512 Hospital's list price $682

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 $223

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 $210 (about 0.9× the $244 Medicare rate). Medical West, An Affiliate of UAB Health System charges insurers about $223, or about $512 in cash — about the fair price. Located in Bessemer, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$29 - $714	12%
Blue Cross Blue Shieldmajor	$216	89%
Aetnamajor	$24 - $931	10%
Cignamajor	$23 - $962	9%
Humanamajor	$29 - $1,130	12%
Ambetter (Centene)	$300	123%
GEHA	$24 - $931	10%
+ 11 smaller / regional plans	$22 - $1,197

Government programs also on file: Military & VA.

Excludes 5 rental-network / third-party entries (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 512), 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 Medical West, An Affiliate of UAB Health System 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 Medical West, An Affiliate of UAB Health System

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

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