CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jamaica Hospital Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $299
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Jamaica Hospital Medical Center is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.23x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$299

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: $425 (174%)
Insurance Median: $299 (123%)
Cash: $425 (174% of Medicare)
Ins. Median: $299 (123% 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
UnitedHealthcare $72 - $534 30%
Ghi $141 - $296 58%
1999 National Benefit Fund $197 81%
Healthfirst $252 103%
Fidelis $282 - $296 116%
World Trade Center Program $286 - $341 117%
Aetna $296 - $593 121%
Beacon Health Strategies $296 121%
Centerlight Healthcare $296 121%
Empire $296 121%
Hip $296 - $631 121%
Metroplus $296 - $326 121%
Elderplan $302 124%
Vns $302 124%
Wellcare Of Ny $308 126%
Humana $314 129%
Senior Whole Health $314 129%
Hamaspik Choice $341 140%
Magnacare $341 140%
Centers Plan For Healthy Living $370 152%
Emblemhealth $489 201%
Hotel Trades Council $1,912 784%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals