CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Milton S Hershey Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $283
Cash Discount Price: $520
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Milton S Hershey Medical Center is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$283

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: $520 (213%)

Insurance Median: $283 (116%)

Cash: $520 (213% of Medicare)

Ins. Median: $283 (116% 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
[Amerihealth Caritas]	$215 - $253	88%
[Highmark Wholecare]	$215 - $253	88%
[Geisinger]	$228 - $1,171	94%
[Health Partners Plans]	$235 - $258	96%
[Pa Health & Wellness]	$237 - $261	97%
[Highmark]	$251 - $1,361	103%
Aetna	$256 - $1,064	105%
Humana	$256	105%
[Healthspring]	$256	105%
UnitedHealthcare	$258 - $1,133	106%
[Upmc]	$258 - $1,161	106%
[Cbc]	$283 - $1,040	116%
[Point Comfort Underwriters]	$316	130%
[Highmark Aca]	$953	391%
Cigna	$1,004	412%
[Highmark Choice Blue]	$1,089	447%
[Preferred Healthcare Systems]	$1,178	483%
[First Health]	$1,257	516%
[Multiplan]	$1,257	516%

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 $520.
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 Milton S Hershey Medical Center 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.