CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Southcoast Hospitals Group

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$298

about 1.2× the $244 Medicare rate · typically $274–$370

modeled estimate · not a bill or quote

What this hospital charges insurers

$299

About the fair price

about $1 over the fair price · 1.2× Medicare

Medicare pays $244 Fair price $298 This hospital $299 Cash price $414 Hospital's list price $827

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $203 Priciest $299

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

A fair price for a Ultrasound, leg veins (duplex) is about $298 (about 1.2× the $244 Medicare rate). Southcoast Hospitals Group charges insurers about $299, or about $414 in cash — about the fair price. Located in Fall River, MA.

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✓ Cigna HumanaKaiser 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	$287 - $772	118%
Blue Cross Blue Shieldmajor	$287 - $464	118%
Aetnamajor	$287 - $629	118%
Cignamajor	$647	265%
Harvard Pilgrim	$438	180%
Priority Health	$496	203%
Tufts Health Plan	$229 - $412	94%
WellSense	$177 - $290	73%
+ 8 smaller / regional plans	$287 - $496

Government programs also on file: Medicare.

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 414), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

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

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