CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Tift Regional Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$249

about 1.0× the $244 Medicare rate · typically $225–$483

modeled estimate · not a bill or quote

What this hospital charges insurers

$274

About the fair price

about $25 over the fair price · 1.1× Medicare

Medicare pays $244 Fair price $249 This hospital $274 Cash price $713 Hospital's list price $1,425

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 $274

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

A fair price for a Ultrasound, leg veins (duplex) is about $249 (about 1.0× the $244 Medicare rate). Tift Regional Medical Center charges insurers about $274, or about $713 in cash — about the fair price. Located in Tifton, GA.

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	$224 - $1,286	92%
Blue Cross Blue Shieldmajor	$224 - $1,522	92%
Aetnamajor	$225 - $1,315	92%
Cignamajor	$1,217 - $1,390	499%
Humanamajor	$235 - $761	96%
Amerigroup	$300 - $342	123%
CareSource	$242 - $376	99%
Clover Health	$225	92%
WellCare	$225 - $299	92%
+ 7 smaller / regional plans	$168 - $1,522

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

Excludes 2 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 713), 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 Tift Regional 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 Tift Regional Medical Center

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

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