CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Spaulding Rehabilitation Hospital - Boston

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$491

about 2.0× the $244 Medicare rate · typically $185–$902

modeled estimate · not a bill or quote

What this hospital charges insurers

$287

Below the fair price — a good deal

about $204 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $491 This hospital $287 Cash price $1,336 Hospital's list price $1,781

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $203 Priciest $287

Black dot = this hospital, among the 9 MA 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 $491 (about 2.0× the $244 Medicare rate). Spaulding Rehabilitation Hospital - Boston charges insurers about $287, or about $1,336 in cash — below the fair price — a good deal. Located in Charlestown, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser 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	$287 - $1,455	118%
Cignamajor	$1,473	604%
+ 1 smaller / regional plan	$625 - $654

Government programs also on file: Medicare.

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 1,336), 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 Spaulding Rehabilitation Hospital - Boston 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 Spaulding Rehabilitation Hospital - Boston

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

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