CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Southern Ohio Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$193

about 0.8× the $244 Medicare rate · typically $158–$343

modeled estimate · not a bill or quote

What this hospital charges insurers

$198

About the fair price

about $5 over the fair price · 0.8× Medicare

Medicare pays $244 Fair price $193 This hospital $198 Cash price $651 Hospital's list price $1,303

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $80 Priciest $198

Black dot = this hospital, among the 9 OH 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 $193 (about 0.8× the $244 Medicare rate). Southern Ohio Medical Center charges insurers about $198, or about $651 in cash — about the fair price. Located in Portsmouth, OH.

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 - $1,200	11%
Blue Cross Blue Shieldmajor	$172 - $1,064	71%
Aetnamajor	$226 - $1,050	93%
Cignamajor	$315 - $1,132	129%
Humanamajor	$172 - $1,159	71%
Ambetter (Centene)	$165	68%
CareSource	$198 - $302	81%
Medical Mutual	$46 - $1,118	19%
Molina	$165 - $478	68%
WellCare	$165 - $173	68%
+ 6 smaller / regional plans	$165 - $1,200

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 651), 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 Southern Ohio 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 Southern Ohio Medical Center

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

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