CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Fostoria Community Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$280

about 1.1× the $244 Medicare rate · typically $183–$459

modeled estimate · not a bill or quote

What this hospital charges insurers

$232

Below the fair price — a good deal

about $48 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $280 This hospital $232 Cash price $1,384 Hospital's list price $2,129

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 $232

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 $280 (about 1.1× the $244 Medicare rate). Fostoria Community Hospital charges insurers about $232, or about $1,384 in cash — below the fair price — a good deal. Located in Fostoria, OH.

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✓ Aetna CignaHumanaKaiser 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	$221 - $1,273	91%
Blue Cross Blue Shieldmajor	$168 - $1,380	69%
Aetnamajor	$193 - $1,426	79%
AmeriHealth	$232	95%
CareSource	$219 - $884	90%
Medical Mutual	$1,203 - $1,280	493%
Meridian	$131	54%
Paramount	$163 - $1,128	67%
+ 7 smaller / regional plans	$168 - $1,699

Government programs also on file: Military & VA.

Excludes 2 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 1,384), 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 Fostoria Community 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 Fostoria Community Hospital

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

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