CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Indiana Regional Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$227

about 0.9× the $244 Medicare rate · typically $186–$228

modeled estimate · not a bill or quote

What this hospital charges insurers

$227

About the fair price

0.9× Medicare

Medicare pays $244 Fair price $227 This hospital $227 Cash price $320 Hospital's list price $888

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $137 Priciest $227

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

A fair price for a Ultrasound, leg veins (duplex) is about $227 (about 0.9× the $244 Medicare rate). Indiana Regional Medical Center charges insurers about $227, or about $320 in cash — about the fair price. Located in Indiana, PA.

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	$131 - $355	54%
Blue Cross Blue Shieldmajor	$141 - $685	58%
Aetnamajor	$170 - $762	70%
Cignamajor	$171 - $623	70%
Humanamajor	$168 - $245	69%
Ambetter (Centene)	$154 - $257	63%
AmeriHealth	$151 - $257	62%
Geisinger	$151 - $697	62%
UPMC Health Plan	$137 - $620	56%
+ 4 smaller / regional plans	$239 - $888

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

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 320), 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 Indiana Regional 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 (%)

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Other Procedures at Indiana Regional Medical Center

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

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