CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: CHI Saint Joseph Berea Nf

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$510

about 2.1× the $244 Medicare rate · typically $245–$795

modeled estimate · not a bill or quote

What this hospital charges insurers

$738

Above the fair price

about $228 over the fair price · 3.0× Medicare

Medicare pays $244 Fair price $510 This hospital $738 Cash price $658 Hospital's list price $1,366

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 $738

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 $510 (about 2.1× the $244 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $738, or about $658 in cash — above the fair price. Located in Berea, KY.

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 $510. 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	$390 - $738	160%
Blue Cross Blue Shieldmajor	$382 - $445	157%
Aetnamajor	$394 - $1,093	162%
Cignamajor	$943	387%
Humanamajor	$382 - $792	157%
CareSource	$765	314%
Molina	$402 - $432	165%
WellCare	$377 - $382	155%

Excludes 1 rental-network / third-party entry (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 658), 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 CHI Saint Joseph Berea Nf 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 CHI Saint Joseph Berea Nf

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

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