CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jersey City 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–$542

modeled estimate · not a bill or quote

What this hospital charges insurers

$554

Above the fair price

about $230 over the fair price · 2.3× Medicare

Medicare pays $244 Fair price $324 This hospital $554 Cash price $419 Hospital's list price $2,018

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 $554

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). Jersey City Medical Center charges insurers about $554, or about $419 in cash — above the fair price. Located in Jersey City, 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	$290 - $2,452	119%
Blue Cross Blue Shieldmajor	$126 - $1,832	52%
Aetnamajor	$285 - $1,191	117%
Cignamajor	$805	330%
Humanamajor	$285	117%
AmeriHealth	$1,228	504%
Clover Health	$285	117%
Fidelis Care	$285 - $567	117%
WellCare	$566	232%
+ 2 smaller / regional plans	$541 - $1,427

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 419), 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 Jersey City 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 Jersey City Medical Center

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

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