CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jones Memorial Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$216

about 0.9× the $244 Medicare rate · typically $149–$451

modeled estimate · not a bill or quote

What this hospital charges insurers

$167

Below the fair price — a good deal

about $49 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $216 This hospital $167 Cash price $459 Hospital's list price $918

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $109 Priciest $167

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $216 (about 0.9× the $244 Medicare rate). Jones Memorial Hospital charges insurers about $167, or about $459 in cash — below the fair price — a good deal. Located in Wellsville, NY.

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	$30 - $319	12%
Blue Cross Blue Shieldmajor	$27 - $622	11%
Aetnamajor	$27 - $338	11%
Cignamajor	$41 - $780	17%
Humanamajor	$319	131%
CDPHP	$81 - $460	33%
Fidelis Care	$40 - $259	16%
Independent Health	$30 - $417	12%
Molina	$120 - $245	49%
MVP Health Care	$288 - $753	118%
UPMC Health Plan	$239	98%
+ 3 smaller / regional plans	$65 - $565

Government programs also on file: Medicare, Medicaid.

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 459), 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 Jones Memorial Hospital 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 Jones Memorial Hospital

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

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