CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $703
Cash Discount Price: $1,900
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Geisinger-Bloomsburg Hospital is $703. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,900. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.88x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.

Cash / Self-Pay

$1,900

Average discount available for prompt cash payment at this facility.

Insurance Median

$703

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: $1,900 (779%)

Insurance Median: $703 (288%)

Cash: $1,900 (779% of Medicare)

Ins. Median: $703 (288% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 288% of the Medicare baseline (a markup of 188%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$147	60%
Geisinger Family Plan	$151	62%
Amerihealth	$169	69%
Upmc For You	$172	71%
Health Partners	$176	72%
Upmc Chip	$183	75%
Advantra	$233	96%
Blue Cross Blue Shield	$233 - $1,709	96%
Geisinger Health Plan	$233 - $585	96%
Humana	$233 - $2,604	96%
Medicare (plans)	$233	96%
UnitedHealthcare	$233 - $748	96%
American Progressive	$237	97%
Care Improvement Plus	$237	97%
Medical Development International	$349	143%
Naphcare	$349	143%
Ambetter / Centene	$558	229%
Cigna	$809	332%
Aetna	$1,161 - $1,964	476%
Intergroup Services	$1,226 - $2,145	503%
Christian Healthcare Ministries	$1,532	628%
Multiplan	$2,604	1068%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,900.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Geisinger-Bloomsburg Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.