CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Wentworth-Douglass Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $281
Cash Discount Price: $1,168
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Wentworth-Douglass Hospital is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,168. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.15x the Medicare baseline. Located in 789 Central Ave, Dover, NH.

Cash / Self-Pay

$1,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$281

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: $1,168 (479%)

Insurance Median: $281 (115%)

Cash: $1,168 (479% of Medicare)

Ins. Median: $281 (115% 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
Generic Commercial [1009]	$226 - $281	93%
Wellsense Nh [1050]	$226 - $253	93%
Blue Cross Blue Shield	$247 - $1,614	101%
Martin's Point [160007]	$253	104%
Medicare (plans)	$253	104%
Tricare	$253	104%
UnitedHealthcare	$253 - $1,506	104%
Humana	$260	107%
PHCS Multiplan [1022]	$281	115%
Harvard Pilgrim [120001]	$851 - $1,415	349%
Mgb Health Plan [150001]	$1,224	502%
Wellpoint [1015]	$1,305	535%
Aetna	$1,358	557%
Harvard Pilgrim Alternate [120002]	$1,415	580%

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 $1,168.
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 Wentworth-Douglass 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.