CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: The Nebraska Methodist Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$345

about 1.4× the $244 Medicare rate · typically $247–$665

modeled estimate · not a bill or quote

What this hospital charges insurers

$359

About the fair price

about $14 over the fair price · 1.5× Medicare

Medicare pays $244 Fair price $345 This hospital $359 Cash price $1,002 Hospital's list price $2,784

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $119 Priciest $359

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

A fair price for a Ultrasound, leg veins (duplex) is about $345 (about 1.4× the $244 Medicare rate). The Nebraska Methodist Hospital charges insurers about $359, or about $1,002 in cash — about the fair price. Located in Omaha, NE.

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✓ Humana CignaKaiser 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	$244 - $1,871	100%
Blue Cross Blue Shieldmajor	$244 - $2,430	100%
Aetnamajor	$240 - $466	98%
Humanamajor	$240	98%
Ambetter (Centene)	$505	207%
Medica	$244 - $2,210	100%
+ 2 smaller / regional plans	$505 - $2,033

Government programs also on file: Medicare.

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 1,002), 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 The Nebraska Methodist 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 The Nebraska Methodist Hospital

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

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