CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Newton Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$310
about 1.3× the $244 Medicare rate · typically $246–$526
modeled estimate · not a bill or quote
What this hospital charges insurers
$265
Below the fair price — a good deal
about $45 under the fair price · 1.1× Medicare
Medicare pays $244 Fair price $310 This hospital $265 Cash price $264 Hospital's list price $2,628

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 4 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $215 Priciest $274

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 $310 (about 1.3× the $244 Medicare rate). Newton Medical Center charges insurers about $265, or about $264 in cash — below the fair price — a good deal. Located in Newton, 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 $1,172 481%
Blue Cross Blue Shieldmajor $176 - $1,801 72%
Aetnamajor $212 - $832 87%
Cignamajor $264 - $1,925 108%
Humanamajor $1,445 593%
Kaiser Permanentemajor $1,445 593%
Ambetter (Centene) $264 108%
AmeriHealth $264 - $1,732 108%
GEHA $1,172 481%
Harvard Pilgrim $1,172 481%
Health Net $832 - $2,234 341%
MagnaCare $1,314 - $2,102 539%
MVP Health Care $1,750 718%
Oscar Health $1,445 593%
Tufts Health Plan $1,750 718%
UPMC Health Plan $264 108%
WellCare $264 108%
+ 79 smaller / regional plans $194 - $2,628
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.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals