CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ellenville Regional Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$366

about 1.5× the $244 Medicare rate · typically $159–$736

modeled estimate · not a bill or quote

What this hospital charges insurers

$287

Below the fair price — a good deal

about $79 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $366 This hospital $287 Cash price $312 Hospital's list price $416

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 $287

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 $366 (about 1.5× the $244 Medicare rate). Ellenville Regional Hospital charges insurers about $287, or about $312 in cash — below the fair price — a good deal. Located in Ellenville, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$40 - $292	16%
Blue Cross Blue Shieldmajor	$40 - $292	16%
Aetnamajor	$46 - $475	19%
Humanamajor	$40 - $292	16%
CDPHP	$37 - $270	15%
EmblemHealth	$34 - $585	14%
Fidelis Care	$40 - $292	16%
MVP Health Care	$42 - $548	17%
WellCare	$55 - $402	23%
+ 3 smaller / regional plans	$40 - $475

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 312), 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 Ellenville Regional 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 Ellenville Regional Hospital

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

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