CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Geisinger-Lewistown Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$244

about 1.0× the $244 Medicare rate · typically $145–$284

modeled estimate · not a bill or quote

What this hospital charges insurers

$237

About the fair price

about $7 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $244 This hospital $237 Cash price $1,900 Hospital's list price $3,064

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $137 Priciest $237

Black dot = this hospital, among the 9 PA 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 $244 (about 1.0× the $244 Medicare rate). Geisinger-Lewistown Hospital charges insurers about $237, or about $1,900 in cash — about the fair price. Located in Lewistown, PA.

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	$1,357	557%
Blue Cross Blue Shieldmajor	$234 - $1,658	96%
Aetnamajor	$1,252 - $1,489	514%
Cignamajor	$1,325 - $1,612	544%
Humanamajor	$237	97%
Ambetter (Centene)	$563	231%
AmeriHealth	$161	66%
Geisinger	$157 - $1,099	64%
HealthPartners	$176	72%
UPMC Health Plan	$172 - $11,890	71%
+ 3 smaller / regional plans	$237 - $2,451

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (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 1,900), 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 Geisinger-Lewistown 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 Geisinger-Lewistown Hospital

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

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