CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Physicians Regional Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$229

about 0.9× the $244 Medicare rate · typically $193–$251

modeled estimate · not a bill or quote

What this hospital charges insurers

$224

About the fair price

about $5 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $229 This hospital $224 Cash price $441 Hospital's list price $1,989

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 $224

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 $229 (about 0.9× the $244 Medicare rate). Physicians Regional Medical Center charges insurers about $224, or about $441 in cash — about the fair price. Located in Powell, TN.

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	$90 - $2,233	37%
Blue Cross Blue Shieldmajor	$141 - $480	58%
Aetnamajor	$219 - $978	90%
Cignamajor	$499 - $508	205%
Humanamajor	$213	87%
Ambetter (Centene)	$400	164%
Amerigroup	$170 - $224	70%
Cigna HealthSpring	$219	90%
Devoted Health	$217	89%
WellCare	$225	92%
+ 7 smaller / regional plans	$213 - $400

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

Excludes 4 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 441), 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 Physicians 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Physicians Regional Medical Center

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

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