CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Stanly Regional Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$174

about 0.7× the $244 Medicare rate · typically $110–$254

modeled estimate · not a bill or quote

What this hospital charges insurers

$173

About the fair price

about $1 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $174 This hospital $173 Cash price $1,156 Hospital's list price $2,312

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Lowest price of the 9 NC hospitals we have prices for — a strong deal.

Cheapest $173 Priciest $194

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $174 (about 0.7× the $244 Medicare rate). Stanly Regional Medical Center charges insurers about $173, or about $1,156 in cash — about the fair price. Located in Albemarle, NC.

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	$28 - $1,565	11%
Blue Cross Blue Shieldmajor	$83 - $1,191	34%
Aetnamajor	$31 - $2,081	13%
Cignamajor	$30 - $1,849	12%
Humanamajor	$31 - $234	13%
Ambetter (Centene)	$318 - $860	130%
AmeriHealth	$28 - $283	11%
Health Net	$1,022 - $1,336	419%
WellCare	$28 - $280	11%
+ 16 smaller / regional plans	$28 - $2,219

Excludes 3 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 1,156), 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 Stanly Regional Medical Center 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 Stanly Regional Medical Center

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

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