CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: CHI St Alexius Health

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$371

about 1.5× the $244 Medicare rate · typically $273–$434

modeled estimate · not a bill or quote

What this hospital charges insurers

$436

Above the fair price

about $65 over the fair price · 1.8× Medicare

Medicare pays $244 Fair price $371 This hospital $436 Cash price $351 Hospital's list price $688

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 7 of 8 other ND hospitals charge less.

Cheapest $153 Priciest $519

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

A fair price for a Ultrasound, leg veins (duplex) is about $371 (about 1.5× the $244 Medicare rate). CHI St Alexius Health charges insurers about $436, or about $351 in cash — above the fair price. Located in Bismarck, ND.

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 $371. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$242 - $454	99%
Blue Cross Blue Shieldmajor	$247	101%
Humanamajor	$242	99%
HealthPartners	$516	212%
Medica	$242 - $509	99%
Sanford Health Plan	$418	171%
+ 1 smaller / regional plan	$254

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 351), 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 St Alexius Health 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 St Alexius Health

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

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