CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: UPMC Northwest

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$243
about 1.0× the $244 Medicare rate · typically $203–$255
modeled estimate · not a bill or quote
What this hospital charges insurers
$242
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $244 Fair price $243 This hospital $242 Cash price $506 Hospital's list price $843

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 $242

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $243 (about 1.0× the $244 Medicare rate). UPMC Northwest charges insurers about $242, or about $506 in cash — about the fair price. Located in Seneca, 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 $169 - $254 69%
Blue Cross Blue Shieldmajor $218 - $505 89%
Aetnamajor $176 - $548 72%
Cignamajor $337 - $548 138%
Humanamajor $717 294%
AmeriHealth $229 - $249 94%
UPMC Health Plan $161 - $580 66%
+ 4 smaller / regional plans $249 - $3,704
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals