CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$183

about 0.8× the $244 Medicare rate · typically $57–$455

modeled estimate · not a bill or quote

What this hospital charges insurers

$55

Below the fair price — a good deal

about $128 under the fair price · 0.2× Medicare

Medicare pays $244 Fair price $183 This hospital $55 Cash price $506 Hospital's list price $760

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 6 of 8 other ID hospitals charge more for the same procedure.

Cheapest $54 Priciest $236

Black dot = this hospital, among the 9 ID 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 $183 (about 0.8× the $244 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $55, or about $506 in cash — below the fair price — a good deal. Located in Nampa, ID.

What each insurance company pays

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

6 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	$26 - $1,303	11%
Blue Cross Blue Shieldmajor	$26 - $944	11%
Aetnamajor	$26 - $1,270	11%
Cignamajor	$26 - $1,345	11%
Humanamajor	$26 - $1,274	11%
Kaiser Permanentemajor	$66 - $944	27%
Ambetter (Centene)	$26	11%
Clover Health	$30	12%
Dean Health Plan	$71 - $1,303	29%
GEHA	$67 - $1,303	27%
Health Net	$26 - $1,057	11%
HealthPartners	$26 - $1,303	11%
Meridian	$26 - $30	11%
Moda Health	$52 - $1,231	21%
Molina	$26 - $608	11%
PacificSource	$56 - $1,057	23%
Paramount	$26 - $1,303	11%
Presbyterian	$26 - $30	11%
Priority Health	$1,345	552%
SelectHealth	$56 - $1,303	23%
Tufts Health Plan	$26	11%
WellMed	$30	12%
WellSense	$26	11%
+ 364 smaller / regional plans	$25 - $1,345

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 14 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 506), 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 Saint Alphonsus Medical Center - Nampa 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 Saint Alphonsus Medical Center - Nampa

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

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