CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$274

about 1.1× the $244 Medicare rate · typically $116–$505

modeled estimate · not a bill or quote

What this hospital charges insurers

$299

About the fair price

about $25 over the fair price · 1.2× Medicare

Medicare pays $244 Fair price $274 This hospital $299 Hospital's list price $3,045

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 $299

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 $274 (about 1.1× the $244 Medicare rate). Hospital of the Fox Chase Cancer Center charges insurers about $299 — about the fair price. Located in Philadelphia, 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	$144 - $3,015	59%
Blue Cross Blue Shieldmajor	$114 - $1,307	47%
Aetnamajor	$187 - $1,074	77%
Cignamajor	$297	122%
Humanamajor	$245	101%
Clover Health	$260	107%
HealthPartners	$84 - $250	34%
Oscar Health	$368	151%
UPMC Health Plan	$302 - $324	124%
+ 6 smaller / regional plans	$270 - $3,217

Excludes 1 rental-network / third-party entry (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, 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 Hospital of the Fox Chase Cancer Center 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 Hospital of the Fox Chase Cancer Center

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

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