CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Rhea Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$367

about 1.5× the $244 Medicare rate · typically $138–$710

modeled estimate · not a bill or quote

What this hospital charges insurers

$203

Below the fair price — a good deal

about $164 under the fair price · 0.8× Medicare

Medicare pays $244 Fair price $367 This hospital $203 Cash price $307 Hospital's list price $451

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 6 of 8 other TN hospitals charge more for the same procedure.

Cheapest $151 Priciest $223

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 $367 (about 1.5× the $244 Medicare rate). Rhea Medical Center charges insurers about $203, or about $307 in cash — below the fair price — a good deal. Located in Dayton, TN.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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
Blue Cross Blue Shieldmajor	$144 - $361	59%
Cignamajor	$361	148%
Humanamajor	$143	59%

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 307), 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 Rhea 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 Rhea Medical Center

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

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