How much does a Ultrasound, leg veins (duplex) typically cost in the United States?

Across 2,677 U.S. hospitals in 52 states, the modeled national fair BaseRate for Ultrasound, leg veins (duplex) is $287, with most hospital negotiated prices falling between $172 and $642.

Why do hospital prices for Ultrasound, leg veins (duplex) vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 2,677 hospitals

Ultrasound, leg veins (duplex) cost

What a ultrasound, leg veins (duplex) costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Central Montana Medical Center prices routine shoppable procedures near 0.8× Medicare (p50 0.91×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.66×, +82% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#11 of 26 in MT · 38th State Percentile#1,549 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.35× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (80/100 Cash Honesty)
4-Star CMS clinical rating with 62% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (56.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.2×) & laboratory (1.3×) services average 2.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.66×) jump +82% above the median procedure ratio (Q50 0.91×)
Unnegotiated chargemaster list prices average 5.6× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER2.25× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+82% Upper Tail

Q25 0.35× · Q50 0.91× · Q75 1.66×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 80/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Ultrasound, leg veins (duplex)

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.63× 2.4× Med ME0.69× 1.0× Med WA1.76× 2.6× Med ID0.90× 1.3× Med MT1.01× 1.5× Med ND1.71× 2.5× Med MN0.93× 1.4× Med WI0.97× 1.4× Med MI0.89× 1.3× Med VT0.75× 1.1× Med NH0.87× 1.3× Med OR1.42× 2.1× Med NV0.97× 1.4× Med WY0.74× 1.1× Med SD0.90× 1.3× Med IA1.08× 1.6× Med IL0.96× 1.4× Med IN1.29× 1.9× Med OH0.85× 1.3× Med PA0.91× 1.3× Med NY1.09× 1.6× Med MA1.26× 1.9× Med CA1.14× 1.7× Med UT0.71× 1.1× Med CO0.93× 1.4× Med NE2.57× 3.8× Med MO0.97× 1.4× Med KY0.86× 1.3× Med WV0.84× 1.2× Med VA2.02× 3.0× Med MD1.20× 1.2× Med NJ1.18× 1.7× Med CT0.72× 1.1× Med AZ0.97× 1.4× Med NM0.92× 1.4× Med KS1.72× 2.5× Med AR0.88× 1.3× Med TN0.87× 1.3× Med NC0.87× 1.3× Med SC0.91× 1.3× Med DE1.21× 1.8× Med DC1.31× 1.9× Med RI1.47× 2.2× Med OK1.14× 1.7× Med LA0.96× 1.4× Med MS1.02× 1.5× Med AL0.83× 1.2× Med GA1.28× 1.9× Med HI0.96× 1.4× Med TX1.06× 1.6× Med FL0.95× 1.4× Med PR0.42× 0.6× Med

PR0.42×0.6× Med ME0.69×1.0× Med UT0.71×1.1× Med CT0.72×1.1× Med WY0.74×1.1× Med VT0.75×1.1× Med AL0.83×1.2× Med WV0.84×1.2× Med OH0.85×1.3× Med KY0.86×1.3× Med NC0.87×1.3× Med NH0.87×1.3× Med TN0.87×1.3× Med AR0.88×1.3× Med MI0.89×1.3× Med ID0.90×1.3× Med SD0.90×1.3× Med PA0.91×1.3× Med SC0.91×1.3× Med NM0.92×1.4× Med CO0.93×1.4× Med MN0.93×1.4× Med FL0.95×1.4× Med HI0.96×1.4× Med IL0.96×1.4× Med LA0.96×1.4× Med AZ0.97×1.4× Med MO0.97×1.4× Med NV0.97×1.4× Med WI0.97×1.4× Med MT1.01×1.5× Med MS1.02×1.5× Med TX1.06×1.6× Med IA1.08×1.6× Med NY1.09×1.6× Med CA1.14×1.7× Med OK1.14×1.7× Med NJ1.18×1.7× Med MD1.20×1.2× Med DE1.21×1.8× Med MA1.26×1.9× Med GA1.28×1.9× Med IN1.29×1.9× Med DC1.31×1.9× Med OR1.42×2.1× Med RI1.47×2.2× Med AK1.63×2.4× Med ND1.71×2.5× Med KS1.72×2.5× Med WA1.76×2.6× Med VA2.02×3.0× Med NE2.57×3.8× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

PR0.42×(0.6×)ME0.69×(1.0×)UT0.71×(1.1×)CT0.72×(1.1×)WY0.74×(1.1×)

5 Highest-Markup States (Strict Bill Audit Recommended)

NE2.57×(3.8×)VA2.02×(3.0×)WA1.76×(2.6×)KS1.72×(2.5×)ND1.71×(2.5×)

The BaseRate high confidence

$287

the fair national price for a ultrasound, leg veins (duplex)

typically $172–$642 across 2,677 hospitals · how we calculate it

modeled estimate · not a bill or quote

2,677

hospitals priced

states

3.7×

price spread — where shopping matters

1.5×

vs. Medicare

Across 2,677 hospitals in 52 states, a ultrasound, leg veins (duplex) has a fair BaseRate of $287 and typically costs $172–$642. The cheapest state is PR; the priciest is NE.

Cheapest hospitals for a ultrasound, leg veins (duplex)

Ultrasound, leg veins (duplex) cost by state

AK $443 5 hospitals AL $226 50 hospitals AR $239 41 hospitals AZ $263 46 hospitals CA $310 186 hospitals CO $252 52 hospitals CT $197 17 hospitals DC $357 5 hospitals DE $330 8 hospitals FL $259 143 hospitals GA $347 80 hospitals HI $262 16 hospitals IA $294 71 hospitals ID $244 17 hospitals IL $260 100 hospitals IN $350 88 hospitals KS $469 89 hospitals KY $234 44 hospitals LA $260 76 hospitals MA $344 43 hospitals ME $189 23 hospitals MI $242 62 hospitals MN $254 61 hospitals MO $264 73 hospitals MS $277 60 hospitals MT $274 14 hospitals NC $237 49 hospitals ND $464 17 hospitals NE $698 43 hospitals NH $236 10 hospitals NJ $322 42 hospitals NM $249 11 hospitals NV $264 20 hospitals NY $296 86 hospitals OH $232 102 hospitals OK $311 71 hospitals OR $387 30 hospitals PA $247 116 hospitals PR $114 5 hospitals RI $400 6 hospitals SC $247 41 hospitals SD $246 9 hospitals TN $236 69 hospitals TX $289 252 hospitals UT $194 28 hospitals VA $549 45 hospitals VT $204 8 hospitals WA $478 45 hospitals WI $265 78 hospitals WV $229 18 hospitals WY $200 5 hospitals

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $287

Medicare Rate $166

Self-Pay Cash Request Quote

Insurer Median $272

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $237 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $237

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $237).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$366 Above Fair BaseRate

Negotiate Toward $287 Fair BaseRate ($166 Medicare)

Your bill ($653) is $366 above the denoised Fair BaseRate ($287) and 3.9× the $166 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.