CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Montefiore New Rochelle Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$270

about 1.1× the $244 Medicare rate · typically $159–$462

modeled estimate · not a bill or quote

What this hospital charges insurers

$167

Below the fair price — a good deal

about $103 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $270 This hospital $167 Cash price $1,317 Hospital's list price $2,026

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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $270 (about 1.1× the $244 Medicare rate). Montefiore New Rochelle Hospital charges insurers about $167, or about $1,317 in cash — below the fair price — a good deal. Located in New Rochelle, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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	$109 - $286	45%
Humanamajor	$315	129%
Fidelis Care	$109 - $286	45%
Molina	$107 - $395	44%
MVP Health Care	$109 - $224	45%
SelectHealth	$125	51%
WellCare	$110 - $292	45%
+ 11 smaller / regional plans	$109 - $1,621

Government programs also on file: 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 1,317), 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 Montefiore New Rochelle 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 Montefiore New Rochelle Hospital

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

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