CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Montefiore St Luke's Cornwall

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$351

about 1.4× the $244 Medicare rate · typically $286–$840

modeled estimate · not a bill or quote

What this hospital charges insurers

$298

Below the fair price — a good deal

about $53 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $351 This hospital $298 Cash price $298 Hospital's list price $3,740

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 $298

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 $351 (about 1.4× the $244 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $298, or about $298 in cash — below the fair price — a good deal. Located in Newburgh, 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	$298	122%
Blue Cross Blue Shieldmajor	$298 - $2,655	122%
Aetnamajor	$295 - $2,566	121%
Cignamajor	$2,143 - $2,381	879%
Humanamajor	$328	135%
CDPHP	$298	122%
Fidelis Care	$238 - $345	98%
GEHA	$367 - $2,566	151%
MagnaCare	$2,805	1151%
Oscar Health	$298 - $2,524	122%
WellCare	$307	126%
+ 12 smaller / regional plans	$109 - $2,992

Government programs also on file: Medicaid.

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 298), 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 St Luke's Cornwall 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 St Luke's Cornwall

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

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