CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Tomah Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$166

about 0.7× the $244 Medicare rate · typically $96–$304

modeled estimate · not a bill or quote

What this hospital charges insurers

$152

About the fair price

about $14 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $166 This hospital $152 Cash price $718 Hospital's list price $1,249

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $83 Priciest $203

Black dot = this hospital, among the 9 WI 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 $166 (about 0.7× the $244 Medicare rate). Tomah Memorial Hospital charges insurers about $152, or about $718 in cash — about the fair price. Located in Tomah, 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	$26 - $1,701	11%
Blue Cross Blue Shieldmajor	$30 - $1,660	12%
Aetnamajor	$35 - $1,534	14%
Cignamajor	$674 - $1,750	276%
Humanamajor	$613 - $1,669	251%
Quartz	$30 - $1,624	12%
+ 8 smaller / regional plans	$30 - $2,706

Government programs also on file: Military & VA.

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 718), 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 Tomah 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 Tomah Memorial Hospital

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

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