CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Deaconess Illinois Crossroads

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$153

about 0.6× the $244 Medicare rate · typically $118–$205

modeled estimate · not a bill or quote

What this hospital charges insurers

$135

Below the fair price — a good deal

about $18 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $153 This hospital $135 Cash price $320 Hospital's list price $1,454

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 3 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $62 Priciest $158

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $153 (about 0.6× the $244 Medicare rate). Deaconess Illinois Crossroads charges insurers about $135, or about $320 in cash — below the fair price — a good deal. Located in Mount Vernon, IL.

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	$30 - $844	12%
Blue Cross Blue Shieldmajor	$22 - $691	9%
Aetnamajor	$22 - $1,225	9%
Cignamajor	$31 - $566	13%
Humanamajor	$30 - $1,134	12%
HealthLink	$1,164 - $1,236	477%
Meridian	$22 - $252	9%
Molina	$22 - $254	9%
WellCare	$22 - $252	9%
+ 15 smaller / regional plans	$30 - $1,236

Excludes 7 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 320), 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 Deaconess Illinois Crossroads 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 Deaconess Illinois Crossroads

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

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