CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: M Health Fairview Southdale Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$187

about 0.8× the $244 Medicare rate · typically $173–$204

modeled estimate · not a bill or quote

What this hospital charges insurers

$187

About the fair price

0.8× Medicare

Medicare pays $244 Fair price $187 This hospital $187 Cash price $428 Hospital's list price $1,068

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $92 Priciest $187

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

A fair price for a Ultrasound, leg veins (duplex) is about $187 (about 0.8× the $244 Medicare rate). M Health Fairview Southdale Hospital charges insurers about $187, or about $428 in cash — about the fair price. Located in Edina, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 - $800	12%
Blue Cross Blue Shieldmajor	$25 - $638	10%
HealthPartners	$22 - $1,359	9%
Medica	$23 - $727	9%
Sanford Health Plan	$30 - $727	12%
Security Health Plan	$30 - $926	12%
UCare	$22 - $553	9%
WellCare	$30 - $241	12%
+ 5 smaller / regional plans	$22 - $1,111

Excludes 4 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 428), 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 M Health Fairview Southdale 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 M Health Fairview Southdale Hospital

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

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