CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lehigh Valley Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $258
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lehigh Valley Hospital is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.06x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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%)
Insurance Median: $258 (106%)
Ins. Median: $258 (106% 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
Amerihealth Caritas $110 - $264 45%
UnitedHealthcare $110 - $857 45%
Amerihealth $111 - $260 46%
Blue Cross Blue Shield $111 - $252 46%
Ibc $111 - $1,795 46%
Highmark Blue Shield $113 - $815 46%
Cigna $114 - $260 47%
Geisinger $114 - $1,108 47%
Aetna $116 - $1,398 48%
Jefferson Health Partners $116 - $504 48%
Devoted Health $118 - $267 48%
Humana $118 - $267 48%
Upmc $118 - $1,228 48%
Gateway $119 - $270 49%
Emblem $120 - $1,125 49%
Pa Health & Wellness (Allwell) $122 - $277 50%
Highmark Wholecare/Gateway $127 - $186 52%
Pa Health & Wellness $135 - $198 55%
Keystone First $145 - $213 59%
Ambetter / Centene $336 - $765 138%
Valley Preferred $647 - $1,470 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals