CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Adventist Health and Rideout

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$327

about 1.3× the $244 Medicare rate · typically $266–$478

modeled estimate · not a bill or quote

What this hospital charges insurers

$309

About the fair price

about $18 under the fair price · 1.3× Medicare

Medicare pays $244 Fair price $327 This hospital $309 Cash price $480 Hospital's list price $2,181

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $53 Priciest $309

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

A fair price for a Ultrasound, leg veins (duplex) is about $327 (about 1.3× the $244 Medicare rate). Adventist Health and Rideout charges insurers about $309, or about $480 in cash — about the fair price. Located in Marysville, CA.

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✓ Kaiser Permanente Humana

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	$308 - $2,273	126%
Blue Cross Blue Shieldmajor	$311 - $2,486	128%
Aetnamajor	$1,234 - $1,850	506%
Cignamajor	$1,487 - $2,230	610%
Kaiser Permanentemajor	$241 - $1,989	99%
Health Net	$349 - $1,905	143%
+ 5 smaller / regional plans	$73 - $4,318

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

Excludes 4 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 480), 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 Adventist Health and Rideout 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 Adventist Health and Rideout

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

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