CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Penn State Health Hampden Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$241

about 1.0× the $244 Medicare rate · typically $215–$305

modeled estimate · not a bill or quote

What this hospital charges insurers

$233

About the fair price

about $8 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $241 This hospital $233 Cash price $494 Hospital's list price $1,571

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 $233

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 $241 (about 1.0× the $244 Medicare rate). Penn State Health Hampden Medical Center charges insurers about $233, or about $494 in cash — about the fair price. Located in Enola, 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	$233 - $980	96%
Blue Cross Blue Shieldmajor	$198 - $997	81%
Aetnamajor	$236 - $944	97%
Cignamajor	$741	304%
Humanamajor	$236	97%
AmeriHealth	$198 - $233	81%
Cigna HealthSpring	$236	97%
Geisinger	$210 - $1,048	86%
HealthPartners	$217 - $238	89%
UPMC Health Plan	$238 - $1,161	98%
+ 2 smaller / regional plans	$218 - $292

Excludes 3 rental-network / third-party entries (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 (about 494), 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 State Health Hampden Medical 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 Penn State Health Hampden Medical Center

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

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