CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Charles Medical Center Prineville

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$424

about 1.7× the $244 Medicare rate · typically $211–$583

modeled estimate · not a bill or quote

What this hospital charges insurers

$568

Above the fair price

about $144 over the fair price · 2.3× Medicare

Medicare pays $244 Fair price $424 This hospital $568 Cash price $1,251 Hospital's list price $1,564

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 $568

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 $424 (about 1.7× the $244 Medicare rate). St Charles Medical Center Prineville charges insurers about $568, or about $1,251 in cash — above the fair price. Located in Prineville, 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 $424. 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.

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	$438 - $1,445	180%
Blue Cross Blue Shieldmajor	$482 - $836	198%
Aetnamajor	$438 - $1,360	180%
Cignamajor	$438 - $985	180%
Humanamajor	$438	180%
Kaiser Permanentemajor	$438 - $1,354	180%
Devoted Health	$438	180%
Health Net	$438 - $1,470	180%
Moda Health	$568 - $1,345	233%
PacificSource	$236 - $855	97%
Providence Health Plan	$568 - $1,368	233%
UniCare	$438	180%
WellCare	$438	180%
+ 66 smaller / regional plans	$355 - $1,564

Government programs also on file: Medicare, Medicaid, Military & VA.

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 1,251), 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 St Charles Medical Center Prineville 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 St Charles Medical Center Prineville

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

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