CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$300

about 1.2× the $244 Medicare rate · typically $250–$683

modeled estimate · not a bill or quote

What this hospital charges insurers

$421

Above the fair price

about $121 over the fair price · 1.7× Medicare

Medicare pays $244 Fair price $300 This hospital $421 Cash price $1,361 Hospital's list price $2,269

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $62 Priciest $421

Black dot = this hospital, among the 9 IL 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 $300 (about 1.2× the $244 Medicare rate). Memorial Hospital charges insurers about $421, or about $1,361 in cash — above the fair price. Located in Belleville, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $300. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$239 - $1,686	98%
Blue Cross Blue Shieldmajor	$239 - $1,974	98%
Aetnamajor	$239 - $1,702	98%
Cignamajor	$473 - $527	194%
Humanamajor	$239 - $1,262	98%
Devoted Health	$251	103%
HealthLink	$1,100 - $1,713	451%
Medica	$251 - $1,815	103%
Priority Health	$527	216%
UniCare	$1,475 - $1,713	605%
+ 19 smaller / regional plans	$239 - $1,702

Excludes 6 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 1,361), 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 Memorial 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 Memorial Hospital

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

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