CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$135

about 0.6× the $244 Medicare rate · typically $91–$239

modeled estimate · not a bill or quote

What this hospital charges insurers

$183

Above the fair price

about $48 over the fair price · 0.8× Medicare

Medicare pays $244 Fair price $135 This hospital $183 Cash price $442 Hospital's list price $680

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $183 Priciest $268

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

A fair price for a Ultrasound, leg veins (duplex) is about $135 (about 0.6× the $244 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $183, or about $442 in cash — above the fair price. Located in Kapaa, HI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $135. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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	$32 - $764	13%
Humanamajor	$764	313%
Kaiser Permanentemajor	$39 - $1,374	16%
Devoted Health	$35 - $840	14%
+ 7 smaller / regional plans	$32 - $1,481

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 442), 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 Samuel Mahelona 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 Samuel Mahelona Memorial Hospital

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

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