CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Centrastate 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

$268

Below the fair price — a good deal

about $42 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $310 This hospital $268 Cash price $308 Hospital's list price $1,500

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 2 charge more and 5 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). Centrastate Medical Center charges insurers about $268, or about $308 in cash — below the fair price — a good deal. Located in Freehold, 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	$669	274%
Blue Cross Blue Shieldmajor	$268 - $1,028	110%
Aetnamajor	$268 - $449	110%
Cignamajor	$268 - $1,099	110%
Humanamajor	$825	338%
Kaiser Permanentemajor	$825	338%
Ambetter (Centene)	$268	110%
AmeriHealth	$268 - $988	110%
GEHA	$669	274%
Harvard Pilgrim	$669	274%
Health Net	$449 - $1,275	184%
MagnaCare	$975	400%
MVP Health Care	$999	410%
Oscar Health	$825	338%
Tufts Health Plan	$999	410%
UPMC Health Plan	$268	110%
WellCare	$268	110%
+ 79 smaller / regional plans	$268 - $1,500

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 308), 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 Centrastate 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 Centrastate Medical Center

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

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