CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Clara Maass Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$324

about 1.3× the $244 Medicare rate · typically $283–$538

modeled estimate · not a bill or quote

What this hospital charges insurers

$540

Above the fair price

about $216 over the fair price · 2.2× Medicare

Medicare pays $244 Fair price $324 This hospital $540 Cash price $460 Hospital's list price $2,314

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $215 Priciest $540

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $324 (about 1.3× the $244 Medicare rate). Clara Maass Medical Center charges insurers about $540, or about $460 in cash — above the fair price. Located in Belleville, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $324. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$277 - $2,452	114%
Blue Cross Blue Shieldmajor	$271 - $2,209	111%
Aetnamajor	$271 - $1,365	111%
Cignamajor	$805	330%
Humanamajor	$271	111%
AmeriHealth	$1,743	715%
Clover Health	$271	111%
Fidelis Care	$271 - $300	111%
WellCare	$540	222%
+ 2 smaller / regional plans	$475 - $1,895

Excludes 1 rental-network / third-party entry (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 460), 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 Clara Maass Medical Center 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 Clara Maass Medical Center

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

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