CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$247

about 1.0× the $244 Medicare rate · typically $246–$360

modeled estimate · not a bill or quote

What this hospital charges insurers

$262

About the fair price

about $15 over the fair price · 1.1× Medicare

Medicare pays $244 Fair price $247 This hospital $262 Cash price $366 Hospital's list price $523

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $62 Priciest $262

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

A fair price for a Ultrasound, leg veins (duplex) is about $247 (about 1.0× the $244 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $262, or about $366 in cash — about the fair price. Located in Chicago, IL.

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	$256 - $448	105%
Blue Cross Blue Shieldmajor	$210 - $365	86%
Aetnamajor	$250 - $1,298	103%
Cignamajor	$240 - $1,286	98%
Humanamajor	$256 - $1,804	105%
Ambetter (Centene)	$281 - $603	115%
Health Net	$248 - $250	102%
HealthLink	$306 - $373	126%
Meridian	$256	105%
Molina	$262 - $268	107%
Oscar Health	$518 - $632	212%
+ 10 smaller / regional plans	$188 - $345

Government programs also on file: Military & VA.

Excludes 6 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 366), 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 Mt Sinai Hospital Medical Center 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 Mt Sinai Hospital Medical Center

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

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