CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Clinch Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$404

about 1.7× the $244 Medicare rate · typically $148–$718

modeled estimate · not a bill or quote

What this hospital charges insurers

$327

Below the fair price — a good deal

about $77 under the fair price · 1.3× Medicare

Medicare pays $244 Fair price $404 This hospital $327 Cash price $164 Hospital's list price $327

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 $327

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 $404 (about 1.7× the $244 Medicare rate). Clinch Memorial Hospital charges insurers about $327, or about $164 in cash — below the fair price — a good deal. Located in Homerville, 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	$271	111%
Blue Cross Blue Shieldmajor	$281	115%
Aetnamajor	$262 - $327	107%
Cignamajor	$278	114%
Humanamajor	$311 - $327	128%
Amerigroup	$276 - $327	113%
CareSource	$276 - $327	113%
Clover Health	$327	134%
Devoted Health	$311 - $327	128%
WellCare	$311 - $327	128%
+ 3 smaller / regional plans	$294 - $327

Government programs also on file: Medicaid.

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 164), 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 Clinch Memorial Hospital 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 Clinch Memorial Hospital

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

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