CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Northside Hospital Cherokee

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$359

about 1.5× the $244 Medicare rate · typically $236–$661

modeled estimate · not a bill or quote

What this hospital charges insurers

$369

About the fair price

about $10 over the fair price · 1.5× Medicare

Medicare pays $244 Fair price $359 This hospital $369 Cash price $1,621 Hospital's list price $2,161

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $65 Priciest $369

Black dot = this hospital, among the 9 GA 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 $359 (about 1.5× the $244 Medicare rate). Northside Hospital Cherokee charges insurers about $369, or about $1,621 in cash — about the fair price. Located in Canton, GA.

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	$238 - $1,528	98%
Blue Cross Blue Shieldmajor	$238 - $1,506	98%
Aetnamajor	$243 - $1,469	100%
Cignamajor	$324 - $1,361	133%
Humanamajor	$241 - $248	99%
Kaiser Permanentemajor	$246 - $1,880	101%
Ambetter (Centene)	$242 - $1,016	99%
Amerigroup	$242 - $321	99%
CareSource	$246 - $804	101%
Clover Health	$250	103%
Health Net	$1,340	550%
Oscar Health	$1,016	417%
WellCare	$246	101%
+ 24 smaller / regional plans	$148 - $2,161

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

Excludes 9 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 1,621), 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 Northside Hospital Cherokee 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 Northside Hospital Cherokee

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

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