CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $295
Cash Discount Price: $401
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mary Hitchcock Memorial Hospital is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$401

Average discount available for prompt cash payment at this facility.

Insurance Median

$295

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $401 (164%)

Insurance Median: $295 (121%)

Cash: $401 (164% of Medicare)

Ins. Median: $295 (121% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$31 - $1,869	13%
Martin'S Point Generations Advantage	$31 - $270	13%
Mvp	$31 - $1,437	13%
UnitedHealthcare	$31 - $1,647	13%
Aetna	$32 - $1,506	13%
Cigna	$32 - $1,471	13%
Martin'S Point Health Care	$32 - $740	13%
Wellcare Health Plans	$32 - $281	13%
Wellsense Health Plan	$32 - $284	13%
Ambetter / Centene	$33 - $582	14%
Harvard Pilgrim Health Care Of Ne	$39 - $1,376	16%
Amerihealth Caritas Nh	$54 - $243	22%
Beacon Health Strategies/Carelon	$58 - $262	24%
Granite State Health Plan	$60 - $270	25%
Mass General Brigham Health Plan	$91 - $1,334	37%
Tufts Health Plan	$103 - $1,251	42%
Maine Community Health Options	$304 - $1,577	125%
Coventry	$415 - $1,866	170%
First Health/Hcvm	$415 - $1,866	170%
Phcs	$429 - $1,930	176%
Corvel	$439 - $1,973	180%
Ccmsi	$453 - $2,038	186%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $401.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Hitchcock Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.