CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Tristar Northcrest Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$276

about 1.1× the $244 Medicare rate · typically $213–$483

modeled estimate · not a bill or quote

What this hospital charges insurers

$486

Well above the fair price

about $210 over the fair price · 2.0× Medicare

Medicare pays $244 Fair price $276 This hospital $486 Cash price $1,384 Hospital's list price $1,384

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $151 Priciest $486

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

A fair price for a Ultrasound, leg veins (duplex) is about $276 (about 1.1× the $244 Medicare rate). Tristar Northcrest Medical Center charges insurers about $486, or about $1,384 in cash — well above the fair price. Located in Springfield, TN.

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 $276. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$306 - $623	126%
Blue Cross Blue Shieldmajor	$288	118%
Aetnamajor	$692 - $1,482	284%
Cignamajor	$406 - $552	167%
Ambetter (Centene)	$267 - $277	110%
Bright Health	$208 - $291	85%
Molina	$97	40%
Oscar Health	$217	89%
+ 2 smaller / regional plans	$263 - $900

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 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 Tristar Northcrest 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Tristar Northcrest Medical Center

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

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