CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Clarke County Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$144

about 0.6× the $244 Medicare rate · typically $72–$610

modeled estimate · not a bill or quote

What this hospital charges insurers

$155

About the fair price

about $11 over the fair price · 0.6× Medicare

Medicare pays $244 Fair price $144 This hospital $155 Cash price $973 Hospital's list price $1,297

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 7 of 8 other IA hospitals charge less.

Cheapest $60 Priciest $160

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 $144 (about 0.6× the $244 Medicare rate). Clarke County Hospital charges insurers about $155, or about $973 in cash — about the fair price. Located in Osceola, 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✓ 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	$34 - $1,258	14%
Blue Cross Blue Shieldmajor	$34 - $1,180	14%
Aetnamajor	$34 - $1,271	14%
Cignamajor	$1,271	521%
Humanamajor	$34 - $869	14%
HealthPartners	$34 - $1,271	14%
Molina	$36 - $765	15%
+ 1 smaller / regional plan	$36 - $765

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 973), 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 Clarke County 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 Clarke County Hospital

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

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