CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Breckinridge Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$281

about 1.2× the $244 Medicare rate · typically $79–$585

modeled estimate · not a bill or quote

What this hospital charges insurers

$172

Below the fair price — a good deal

about $109 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $281 This hospital $172 Cash price $459 Hospital's list price $917

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $80 Priciest $172

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

A fair price for a Ultrasound, leg veins (duplex) is about $281 (about 1.2× the $244 Medicare rate). Breckinridge Memorial Hospital charges insurers about $172, or about $459 in cash — below the fair price — a good deal. Located in Hardinsburg, 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	$330 - $779	135%
Blue Cross Blue Shieldmajor	$172 - $917	71%
Aetnamajor	$172 - $688	71%
Humanamajor	$688	282%
Ambetter (Centene)	$363	149%
CareSource	$330	135%
Molina	$317	130%
WellCare	$172 - $330	71%
+ 2 smaller / regional plans	$321 - $330

Government programs also on file: Military & VA.

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 459), 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 Breckinridge 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 Breckinridge Memorial Hospital

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

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