CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Westfield Memorial Hospital Inc

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $193
  • Cash Discount Price: $707
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Westfield Memorial Hospital Inc is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $707. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.79x the Medicare baseline. Located in 189 E Main St, Westfield, NY.
Cash / Self-Pay
$707

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $707 (290%)
Insurance Median: $193 (79%)
Cash: $707 (290% of Medicare)
Ins. Median: $193 (79% 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
Univera $27 - $218 11%
Amerihealth $34 - $300 14%
Highmark $38 - $474 16%
Pennsylvania Health And Wellness $43 - $220 18%
Geisinger $47 - $235 19%
UnitedHealthcare $47 - $358 19%
Cigna $52 - $288 21%
Jefferson Health Plans $175 - $224 72%
American Health Plans $286 117%
Life Pittsburgh $286 117%
Martin'S Point $286 - $451 117%
Medicare (plans) $295 121%
Aetna $297 - $549 122%
Humana $303 124%
Molina $312 128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)