CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$476
about 2.0× the $244 Medicare rate · typically $151–$1,353
modeled estimate · not a bill or quote
What this hospital charges insurers
$438
About the fair price
about $38 under the fair price · 1.8× Medicare
Medicare pays $244 Fair price $476 This hospital $438 Cash price $1,209 Hospital's list price $2,081

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $83 Priciest $438

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

A fair price for a Ultrasound, leg veins (duplex) is about $476 (about 2.0× the $244 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $438, or about $1,209 in cash — about the fair price. Located in Hillsboro, WI.

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 $1,103 - $1,455 452%
Blue Cross Blue Shieldmajor $438 - $1,515 180%
Aetnamajor $1,977 811%
Cignamajor $1,706 700%
Humanamajor $1,769 726%
Amerigroup $71 29%
Quartz $1,134 465%
Security Health Plan $408 167%
UCare $1,082 - $1,665 444%
+ 4 smaller / regional plans $438 - $1,727
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals