CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Stafford Hospital, LLC

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$435

about 1.8× the $244 Medicare rate · typically $259–$920

modeled estimate · not a bill or quote

What this hospital charges insurers

$237

Below the fair price — a good deal

about $198 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $435 This hospital $237 Cash price $478 Hospital's list price $956

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 6 of 8 other VA hospitals charge less.

Cheapest $216 Priciest $239

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 $435 (about 1.8× the $244 Medicare rate). Stafford Hospital, LLC charges insurers about $237, or about $478 in cash — below the fair price — a good deal. Located in Stafford, 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✓ Humana✓ Kaiser Permanente Cigna

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	$228	94%
Blue Cross Blue Shieldmajor	$228 - $528	94%
Aetnamajor	$228 - $829	94%
Humanamajor	$228 - $234	94%
Kaiser Permanentemajor	$244 - $250	100%
Molina	$237 - $243	97%
Sentara	$228 - $612	94%

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 478), 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 Stafford Hospital, LLC 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 Stafford Hospital, LLC

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

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