CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Johnston Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$265

about 1.1× the $244 Medicare rate · typically $240–$312

modeled estimate · not a bill or quote

What this hospital charges insurers

$240

About the fair price

about $25 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $265 This hospital $240 Cash price $344 Hospital's list price $2,295

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $216 Priciest $240

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

A fair price for a Ultrasound, leg veins (duplex) is about $265 (about 1.1× the $244 Medicare rate). Johnston Memorial Hospital charges insurers about $240, or about $344 in cash — about the fair price. Located in Abingdon, VA.

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	$137 - $1,694	56%
Blue Cross Blue Shieldmajor	$124 - $953	51%
Aetnamajor	$221 - $1,464	91%
Cignamajor	$244 - $1,065	100%
Humanamajor	$233	96%
Ambetter (Centene)	$508	208%
Amerigroup	$231 - $242	95%
Devoted Health	$244	100%
Molina	$218 - $242	89%
Sentara	$210 - $770	86%
WellCare	$247	101%
+ 4 smaller / regional plans	$233 - $2,295

Government programs also on file: Medicare.

Excludes 2 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 344), 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 Johnston Memorial Hospital 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 Johnston Memorial Hospital

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

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