CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Kenmore Mercy Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$160

about 0.7× the $244 Medicare rate · typically $80–$218

modeled estimate · not a bill or quote

What this hospital charges insurers

$159

About the fair price

about $1 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $160 This hospital $159 Cash price $409 Hospital's list price $500

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 $159

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 $160 (about 0.7× the $244 Medicare rate). Kenmore Mercy Hospital charges insurers about $159, or about $409 in cash — about the fair price. Located in Kenmore, 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	$22 - $209	9%
Blue Cross Blue Shieldmajor	$26 - $275	11%
Aetnamajor	$33 - $187	14%
Cignamajor	$31 - $258	13%
Humanamajor	$33 - $187	14%
Amerigroup	$50 - $275	21%
Fidelis Care	$33 - $245	14%
Independent Health	$26 - $529	11%
Molina	$59 - $335	24%
MVP Health Care	$43 - $236	18%
UPMC Health Plan	$57 - $320	23%
WellCare	$33 - $196	14%
+ 16 smaller / regional plans	$26 - $491

Government programs also on file: Medicare, Medicaid, 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 409), 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 Kenmore Mercy 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 Kenmore Mercy Hospital

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

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