CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cheshire Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $290
Cash Discount Price: $197
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cheshire Medical Center is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.19x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $197 (81%)

Insurance Median: $290 (119%)

Cash: $197 (81% of Medicare)

Ins. Median: $290 (119% 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
Aetna	$32 - $648	13%
Ambetter / Centene	$34 - $225	14%
Blue Cross Blue Shield	$34 - $820	14%
Cigna	$34 - $1,455	14%
Martin'S Point Generations Advantage	$34 - $253	14%
Martin'S Point Health Care	$34 - $253	14%
Mvp	$34 - $1,455	14%
UnitedHealthcare	$34 - $720	14%
Wellcare Health Plans	$34 - $253	14%
Wellsense Health Plan	$34 - $270	14%
Amerihealth Caritas Nh	$58 - $128	24%
Granite State Health Plan	$80 - $158	33%
Mass General Brigham Health Plan	$88 - $948	36%
Tufts Health Plan	$90 - $605	37%
Harvard Pilgrim Health Care Of Ne	$102 - $622	42%
Maine Community Health Options	$215 - $427	88%
First Health/Hcvm	$405 - $806	166%
Phcs	$429 - $853	176%

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 $197.
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 Cheshire Medical Center 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.