CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$194

about 0.8× the $244 Medicare rate · typically $126–$374

modeled estimate · not a bill or quote

What this hospital charges insurers

$195

About the fair price

about $1 over the fair price · 0.8× Medicare

Medicare pays $244 Fair price $194 This hospital $195 Cash price $572 Hospital's list price $1,144

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 $195

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 $194 (about 0.8× the $244 Medicare rate). Atrium Health Navicent Rehabilitation Hopsital charges insurers about $195, or about $572 in cash — about the fair price. Located in Macon, 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	$30 - $999	12%
Blue Cross Blue Shieldmajor	$30 - $545	12%
Aetnamajor	$30 - $789	12%
Cignamajor	$194 - $668	80%
Humanamajor	$30 - $786	12%
Kaiser Permanentemajor	$260 - $744	107%
Ambetter (Centene)	$41 - $583	17%
Clover Health	$31 - $247	13%
+ 9 smaller / regional plans	$30 - $1,064

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 572), 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 Atrium Health Navicent Rehabilitation Hopsital 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 Atrium Health Navicent Rehabilitation Hopsital

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

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