CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Marys Good Samaritan Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$460

about 1.9× the $244 Medicare rate · typically $150–$755

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $460 Cash price $662 Hospital's list price $1,018

How we calculate the fair BaseRate →

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	$275 - $2,632	113%
Blue Cross Blue Shieldmajor	$197 - $736	81%
Aetnamajor	$275 - $814	113%
Cignamajor	$275 - $835	113%
Humanamajor	$275 - $764	113%
Kaiser Permanentemajor	$275	113%
Ambetter (Centene)	$275	113%
Amerigroup	$1,018	418%
CareSource	$275	113%
Molina	$275	113%
WellCare	$184 - $275	75%
+ 5 smaller / regional plans	$275 - $916

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

Excludes 5 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 662), 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 St Marys Good Samaritan 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 St Marys Good Samaritan Hospital

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

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