CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Boston Children's Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$513

about 2.1× the $244 Medicare rate · typically $208–$744

modeled estimate · not a bill or quote

What this hospital charges insurers

$572

About the fair price

about $59 over the fair price · 2.3× Medicare

Medicare pays $244 Fair price $513 This hospital $572 Cash price $1,979 Hospital's list price $1,979

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 $572

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 $513 (about 2.1× the $244 Medicare rate). Boston Children's Hospital charges insurers about $572, or about $1,979 in cash — about the fair price. Located in Boston, MA.

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	$1,184 - $1,682	486%
Blue Cross Blue Shieldmajor	$556 - $1,307	228%
Aetnamajor	$1,187 - $1,659	487%
Cignamajor	$1,682 - $1,786	690%
Humanamajor	$1,781	731%
Ambetter (Centene)	$1,251	513%
CDPHP	$970 - $1,682	398%
Harvard Pilgrim	$1,006 - $1,337	413%
Tufts Health Plan	$1,216 - $1,218	499%
UniCare	$588	241%
+ 8 smaller / regional plans	$1,203 - $1,781

Excludes 2 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 1,979), 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 Boston Children's 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 Boston Children's Hospital

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

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