CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Joseph's University Medical Center Inc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $283
  • Cash Discount Price: $1,258
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at St Joseph's University Medical Center Inc is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,258. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$1,258

Average discount available for prompt cash payment at this facility.

Insurance Median
$283

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: $1,258 (516%)
Insurance Median: $283 (116%)
Cash: $1,258 (516% of Medicare)
Ins. Median: $283 (116% 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.

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
Fidelis Care of New Jersey $26 - $363 11%
UnitedHealthcare $26 - $571 11%
Aetna $35 - $1,340 14%
Ambetter / Centene $35 - $425 14%
Amerihealth $35 - $1,155 14%
Clover Health $35 - $283 14%
Horizon New Jersey Total Care $35 - $283 14%
Wellpoint $35 - $356 14%
Blue Cross Blue Shield $38 - $807 16%
Multiplan $52 - $1,360 21%
Private Healthcare Systems $73 - $1,179 30%
Horizon New Jersey Health $96 - $735 39%
Cigna $113 - $1,814 46%
Consumer Health Network $319 - $1,633 131%
Longevity Health Plan $326 134%
Oxford $525 215%
Magnacare $1,270 521%
Oscar $1,709 701%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals