CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jefferson Abington Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $175
Cash Discount Price: $226
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Jefferson Abington Hospital is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.72x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.

Cash / Self-Pay

$226

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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%)

Cash / Self-Pay: $226 (93%)

Insurance Median: $175 (72%)

Cash: $226 (93% of Medicare)

Ins. Median: $175 (72% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Jup Health Partners Chip	$26 - $175	11%
Medicaid / KanCare	$26 - $292	11%
Medicare (plans)	$32 - $210	13%
Abington Pro Ibc	$35 - $220	14%
Jup Pa Health_Wellness	$42 - $191	17%
Aetna	$48 - $464	20%
Jup Geisinger Commercial	$52 - $373	21%
Jup Highmark	$59 - $341	24%
Pro United Commercial	$67 - $382	27%
Jab Health Partners	$84	34%
Keystone First	$140 - $180	57%
Pa Health_Wellness Chc	$148 - $191	61%
Ibc	$674 - $1,451	276%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $226.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jefferson Abington Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.