CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mercyone Newton Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$231

about 0.9× the $244 Medicare rate · typically $176–$345

modeled estimate · not a bill or quote

What this hospital charges insurers

$244

About the fair price

about $13 over the fair price · 1.0× Medicare

Medicare pays $244 Fair price $231 This hospital $244 Cash price $987 Hospital's list price $1,519

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $60 Priciest $244

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $231 (about 0.9× the $244 Medicare rate). Mercyone Newton Medical Center charges insurers about $244, or about $987 in cash — about the fair price. Located in Newton, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$230 - $1,097	94%
Blue Cross Blue Shieldmajor	$228 - $244	94%
Aetnamajor	$226 - $1,495	93%
Cignamajor	$1,397	573%
Ambetter (Centene)	$387	159%
GEHA	$1,097	450%
HealthPartners	$1,340	550%
Medica	$1,397	573%
Medical Mutual	$1,495	613%
Oscar Health	$327	134%
+ 22 smaller / regional plans	$244 - $1,519

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 987), 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 Mercyone Newton 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 Mercyone Newton Medical Center

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

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