CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Penn Highlands Connellsville

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$204

about 0.8× the $244 Medicare rate · typically $132–$275

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

Below the fair price — a good deal

about $60 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $204 This hospital $144 Cash price $1,056 Hospital's list price $1,760

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 6 of 8 other PA hospitals charge more for the same procedure.

Cheapest $137 Priciest $171

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 $204 (about 0.8× the $244 Medicare rate). Penn Highlands Connellsville charges insurers about $144, or about $1,056 in cash — below the fair price — a good deal. Located in Connellsville, PA.

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✓ Cigna HumanaKaiser 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	$31 - $445	13%
Blue Cross Blue Shieldmajor	$29 - $986	12%
Aetnamajor	$463 - $2,282	190%
Cignamajor	$208 - $1,024	85%
Geisinger	$30 - $233	12%
UPMC Health Plan	$32 - $1,609	13%

Government programs also on file: Medicare, Medicaid.

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 1,056), 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 Penn Highlands Connellsville 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 Penn Highlands Connellsville

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

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