CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$146

about 0.6× the $244 Medicare rate · typically $95–$206

modeled estimate · not a bill or quote

What this hospital charges insurers

$145

About the fair price

about $1 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $146 This hospital $145 Cash price $518 Hospital's list price $3,982

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $80 Priciest $166

Black dot = this hospital, among the 9 KY 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 $146 (about 0.6× the $244 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $145, or about $518 in cash — about the fair price. Located in Madisonville, KY.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$29 - $1,366	12%
Blue Cross Blue Shieldmajor	$26 - $1,317	11%
Aetnamajor	$26 - $478	11%
Humanamajor	$26 - $1,394	11%
Ambetter (Centene)	$410	168%
HealthLink	$1,361	558%
Molina	$26 - $478	11%
WellCare	$26 - $478	11%
+ 8 smaller / regional plans	$29 - $3,420

Excludes 2 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 518), 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 Baptist Health Deaconess Madisonville 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 Baptist Health Deaconess Madisonville

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

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