CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Chilton Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$313

about 1.3× the $244 Medicare rate · typically $245–$543

modeled estimate · not a bill or quote

What this hospital charges insurers

$280

Below the fair price — a good deal

about $33 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $313 This hospital $280 Cash price $323 Hospital's list price $2,427

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 $280

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 $313 (about 1.3× the $244 Medicare rate). Chilton Medical Center charges insurers about $280, or about $323 in cash — below the fair price — a good deal. Located in Pompton Plains, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$1,082	444%
Blue Cross Blue Shieldmajor	$278 - $1,663	114%
Aetnamajor	$280 - $486	115%
Cignamajor	$280 - $1,778	115%
Humanamajor	$1,335	548%
Kaiser Permanentemajor	$1,335	548%
Ambetter (Centene)	$280	115%
AmeriHealth	$112 - $1,599	46%
GEHA	$1,082	444%
Harvard Pilgrim	$1,082	444%
Health Net	$486 - $2,063	199%
MagnaCare	$1,214 - $1,553	498%
MVP Health Care	$1,616	663%
Oscar Health	$1,335	548%
Tufts Health Plan	$1,616	663%
UPMC Health Plan	$280	115%
WellCare	$280	115%
+ 79 smaller / regional plans	$280 - $2,427

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 24 rental-network / third-party entries (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 323), 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 Chilton 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 Chilton Medical Center

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

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