CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Columbus Community Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$279

about 1.1× the $244 Medicare rate · typically $118–$816

modeled estimate · not a bill or quote

What this hospital charges insurers

$290

About the fair price

about $11 over the fair price · 1.2× Medicare

Medicare pays $244 Fair price $279 This hospital $290 Cash price $1,461 Hospital's list price $2,657

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 $290

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 $279 (about 1.1× the $244 Medicare rate). Columbus Community Hospital charges insurers about $290, or about $1,461 in cash — about the fair price. Located in Columbus, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$244 - $2,205	100%
Blue Cross Blue Shieldmajor	$290 - $2,046	119%
Cignamajor	$1,589	652%
Humanamajor	$2,391	981%
Dean Health Plan	$244 - $2,309	100%
Quartz	$244 - $1,746	100%
Security Health Plan	$244 - $1,983	100%
+ 6 smaller / regional plans	$233 - $2,471

Excludes 1 rental-network / third-party entry (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 1,461), 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 Columbus Community 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 Columbus Community Hospital

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

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