CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Santiam Hospital & Clinics

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$281

about 1.2× the $244 Medicare rate · typically $258–$286

modeled estimate · not a bill or quote

What this hospital charges insurers

$268

About the fair price

about $13 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $281 This hospital $268 Cash price $614 Hospital's list price $614

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 3 charge more and 4 charge less, among the 9 OR hospitals compared.

Cheapest $54 Priciest $284

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 $281 (about 1.2× the $244 Medicare rate). Santiam Hospital & Clinics charges insurers about $268, or about $614 in cash — about the fair price. Located in Stayton, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$104 - $927	43%
Blue Cross Blue Shieldmajor	$105 - $931	43%
Aetnamajor	$96 - $857	39%
Cignamajor	$105 - $930	43%
Humanamajor	$268	110%
Kaiser Permanentemajor	$40 - $914	16%
Devoted Health	$284	117%
Health Net	$118 - $1,049	48%
Moda Health	$105 - $938	43%
+ 11 smaller / regional plans	$40 - $1,049

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 614), 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 Santiam Hospital & Clinics 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 Santiam Hospital & Clinics

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

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