CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Riverview Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$322

about 1.3× the $244 Medicare rate · typically $287–$510

modeled estimate · not a bill or quote

What this hospital charges insurers

$281

Below the fair price — a good deal

about $41 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $322 This hospital $281 Cash price $268 Hospital's list price $2,682

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 $281

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 $322 (about 1.3× the $244 Medicare rate). Riverview Medical Center charges insurers about $281, or about $268 in cash — below the fair price — a good deal. Located in Red Bank, NJ.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$281 - $2,176	115%
Blue Cross Blue Shieldmajor	$268	110%
Aetnamajor	$292 - $2,414	120%
Cignamajor	$2,146 - $2,565	880%
AmeriHealth	$2,319 - $2,627	951%
Clover Health	$483	198%
WellCare	$268	110%
+ 8 smaller / regional plans	$53 - $2,414

Government programs also on file: Military & VA.

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 268), 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 Riverview 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 Riverview Medical Center

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

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