CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$261

about 1.1× the $244 Medicare rate · typically $196–$372

modeled estimate · not a bill or quote

What this hospital charges insurers

$244

About the fair price

about $17 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $261 This hospital $244 Cash price $918 Hospital's list price $1,412

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 $261 (about 1.1× the $244 Medicare rate). Sartori Memorial Hospital, Inc charges insurers about $244, or about $918 in cash — about the fair price. Located in Cedar Falls, IA.

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✓ Kaiser Permanente Humana

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	$229 - $1,412	94%
Blue Cross Blue Shieldmajor	$227 - $244	93%
Aetnamajor	$225 - $866	92%
Cignamajor	$1,003	411%
Kaiser Permanentemajor	$244	100%
Ambetter (Centene)	$385	158%
GEHA	$1,049	430%
HealthPartners	$462	190%
Medica	$1,003	411%
Medical Mutual	$866	355%
Oscar Health	$352	144%
+ 19 smaller / regional plans	$240 - $1,412

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 918), 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 Sartori Memorial Hospital, Inc 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 Sartori Memorial Hospital, Inc

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

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