CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Banner Payson Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$674

about 2.8× the $244 Medicare rate · typically $241–$808

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $674 Cash price $365 Hospital's list price $758

How we calculate the fair BaseRate →

What each insurance company pays

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

6 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	$311 - $508	128%
Blue Cross Blue Shieldmajor	$311 - $1,640	128%
Aetnamajor	$309 - $502	127%
Cignamajor	$311 - $603	128%
Humanamajor	$329	135%
Kaiser Permanentemajor	$311	128%
Banner Health	$167 - $311	69%
Devoted Health	$342	140%
Health Net	$167 - $460	69%
Oscar Health	$513	210%
UPMC Health Plan	$311	128%
+ 13 smaller / regional plans	$167 - $682

Government programs also on file: Military & VA.

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 365), 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 Banner Payson 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 Banner Payson Medical Center

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

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