CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Washington County Hospital and Clinics

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$238

about 1.0× the $244 Medicare rate · typically $132–$532

modeled estimate · not a bill or quote

What this hospital charges insurers

$267

About the fair price

about $29 over the fair price · 1.1× Medicare

Medicare pays $244 Fair price $238 This hospital $267 Cash price $1,046 Hospital's list price $1,394

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 $267

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 $238 (about 1.0× the $244 Medicare rate). Washington County Hospital and Clinics charges insurers about $267, or about $1,046 in cash — about the fair price. Located in Washington, IA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$394 - $585	162%
Aetnamajor	$140 - $1,227	57%
Humanamajor	$569	233%
Ambetter (Centene)	$55	23%
HealthPartners	$569 - $1,185	233%
Molina	$574	235%
WellCare	$574	235%
+ 4 smaller / regional plans	$558 - $1,324

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 1,046), 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 Washington County Hospital and Clinics 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 Washington County Hospital and Clinics

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

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