CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$312

about 1.3× the $244 Medicare rate · typically $131–$497

modeled estimate · not a bill or quote

What this hospital charges insurers

$152

Below the fair price — a good deal

about $160 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $312 This hospital $152 Cash price $923 Hospital's list price $2,309

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

One of the lower prices — 1 of 8 other CO hospitals charge more for the same procedure.

Cheapest $54 Priciest $155

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $312 (about 1.3× the $244 Medicare rate). Orthocolorado Hosp at St Anthony Med Campus charges insurers about $152, or about $923 in cash — below the fair price — a good deal. Located in Lakewood, CO.

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	$151 - $1,339	62%
Blue Cross Blue Shieldmajor	$152 - $1,024	62%
Aetnamajor	$152 - $1,270	62%
Cignamajor	$152 - $471	62%
Humanamajor	$152	62%
Kaiser Permanentemajor	$152 - $636	62%
Devoted Health	$152	62%
+ 5 smaller / regional plans	$152 - $1,085

Government programs also on file: Medicare.

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 923), 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 Orthocolorado Hosp at St Anthony Med Campus 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 Orthocolorado Hosp at St Anthony Med Campus

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

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