CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sanford Behavioral Health Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $753
Cash Discount Price: $912
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sanford Behavioral Health Center is $753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $912. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.09x the Medicare baseline. Located in 120 Labree Avenue South, Thief River Falls, MN.

Cash / Self-Pay

$912

Average discount available for prompt cash payment at this facility.

Insurance Median

$753

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $912 (374%)

Insurance Median: $753 (309%)

Cash: $912 (374% of Medicare)

Ins. Median: $753 (309% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 309% of the Medicare baseline (a markup of 209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Primewest	$254 - $479	104%
Ucare	$254 - $1,002	104%
Blue Cross Blue Shield	$392 - $788	161%
Sanford Health Plan Align	$433	178%
Aetna	$470 - $991	193%
Health Partners	$470 - $923	193%
Medicare (plans)	$470	193%
UnitedHealthcare	$470 - $952	193%
Sanford Health Plan	$611 - $719	251%
Security Health Plan	$627	257%
Medica	$1,002 - $1,078	411%
Cigna	$1,026	421%
First Choice Health Network	$1,026	421%
Healthez	$1,026	421%
Multiplan	$1,026	421%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $912.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Behavioral Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.