CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: New London Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $217
Cash Discount Price: $774
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at New London Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $774. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.89x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$774

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $774 (318%)

Insurance Median: $217 (89%)

Cash: $774 (318% of Medicare)

Ins. Median: $217 (89% 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 - $1,692	13%
Martin'S Point Generations Advantage	$31 - $745	13%
Martin'S Point Health Care	$31 - $1,163	13%
UnitedHealthcare	$31 - $1,324	13%
Wellcare Health Plans	$32 - $745	13%
Wellsense Health Plan	$33 - $745	14%
Aetna	$36 - $1,463	15%
Harvard Pilgrim Health Care Of Ne	$37 - $1,207	15%
Ambetter / Centene	$40 - $745	16%
Cigna	$44 - $1,146	18%
Granite State Health Plan	$108 - $854	44%
Amerihealth Caritas Nh	$109 - $863	45%
Tufts Health Plan	$1,170 - $1,219	480%
Coventry	$1,600	656%
Multiplan	$1,608	660%

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 $774.
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 New London 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.