CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$478

about 2.0× the $244 Medicare rate · typically $111–$918

modeled estimate · not a bill or quote

What this hospital charges insurers

$917

Well above the fair price

about $439 over the fair price · 3.8× Medicare

Medicare pays $244 Fair price $478 This hospital $917 Cash price $941 Hospital's list price $1,448

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $54 Priciest $917

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

A fair price for a Ultrasound, leg veins (duplex) is about $478 (about 2.0× the $244 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $917, or about $941 in cash — well above the fair price. Located in Ontario, OR.

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 $478. 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.

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	$278 - $1,390	114%
Blue Cross Blue Shieldmajor	$278 - $1,231	114%
Aetnamajor	$287 - $1,371	118%
Cignamajor	$434 - $1,361	178%
Humanamajor	$434 - $1,274	178%
Ambetter (Centene)	$434	178%
Dean Health Plan	$1,303	535%
GEHA	$1,371 - $1,390	562%
Health Net	$434 - $1,216	178%
HealthPartners	$434 - $1,129	178%
Meridian	$434	178%
Moda Health	$552 - $1,405	226%
Molina	$434	178%
PacificSource	$869 - $1,361	356%
Paramount	$434 - $1,303	178%
Presbyterian	$434	178%
Priority Health	$1,361	558%
SelectHealth	$674 - $1,303	276%
Tufts Health Plan	$434	178%
WellSense	$434	178%
+ 93 smaller / regional plans	$290 - $1,376

Government programs also on file: Medicare, Medicaid.

Excludes 5 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 941), 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 Saint Alphonsus Medical Center Ontario 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 Saint Alphonsus Medical Center Ontario

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

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