CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$521

about 2.1× the $244 Medicare rate · typically $373–$529

modeled estimate · not a bill or quote

What this hospital charges insurers

$492

About the fair price

about $29 under the fair price · 2.0× Medicare

Medicare pays $244 Fair price $521 This hospital $492 Cash price $1,481 Hospital's list price $2,115

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $57 Priciest $492

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $521 (about 2.1× the $244 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $492, or about $1,481 in cash — about the fair price. Located in Spokane, WA.

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✓ Kaiser Permanente Humana

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	$279 - $882	114%
Blue Cross Blue Shieldmajor	$287 - $646	118%
Aetnamajor	$274 - $277	112%
Cignamajor	$319 - $839	131%
Kaiser Permanentemajor	$266 - $670	109%
Molina	$449	184%
Providence Health Plan	$677	278%
+ 3 smaller / regional plans	$292 - $839

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 1,481), 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 Prov Sacred Hrt Med Ctr & Childs Hosp. 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 Prov Sacred Hrt Med Ctr & Childs Hosp.

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

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