CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $309
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Hospital of the Fox Chase Cancer Center is $309. 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 1.27x the Medicare baseline. Located in 333 Cottman Avenue, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$309

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: $309 (127%)
Ins. Median: $309 (127% 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
Health Partners Plans $84 - $250 34%
Blue Cross Blue Shield $114 - $1,307 47%
UnitedHealthcare $144 - $3,015 59%
Aetna $187 - $1,074 77%
Humana $245 101%
Clover Health $260 107%
Pennsylvania Health And Wellness $270 - $327 111%
Elder Health $294 121%
Cigna $297 122%
Innovage $297 122%
Keystone First $299 - $309 123%
Upmc Health Plan $302 - $324 124%
Wtc Health Program $327 134%
Oscar Health $368 151%
Prime Health Services $390 160%
Qualcare $559 - $3,217 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Cottman Avenue, Philadelphia, PA 19111
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL