CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Oakbend Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$322

about 1.3× the $244 Medicare rate · typically $228–$534

modeled estimate · not a bill or quote

What this hospital charges insurers

$365

About the fair price

about $43 over the fair price · 1.5× Medicare

Medicare pays $244 Fair price $322 This hospital $365 Cash price $280 Hospital's list price $1,170

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $61 Priciest $365

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

A fair price for a Ultrasound, leg veins (duplex) is about $322 (about 1.3× the $244 Medicare rate). Oakbend Medical Center charges insurers about $365, or about $280 in cash — about the fair price. Located in Richmond, TX.

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	$497	204%
Blue Cross Blue Shieldmajor	$141 - $394	58%
Aetnamajor	$416	171%
Cignamajor	$309	127%
Humanamajor	$112 - $760	46%
Ambetter (Centene)	$240 - $1,346	98%
Friday Health	$240 - $300	98%
Oscar Health	$1,462	600%
WellCare	$1,228	504%
+ 1 smaller / regional plan	$1,287

Government programs also on file: Medicare, Medicaid.

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 280), 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 Oakbend 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 Oakbend Medical Center

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

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