CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$300

about 1.2× the $244 Medicare rate · typically $228–$306

modeled estimate · not a bill or quote

What this hospital charges insurers

$253

Below the fair price — a good deal

about $47 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $300 This hospital $253

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 $253

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 $300 (about 1.2× the $244 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $253 — below the fair price — a good deal. Located in Macungie, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$108 - $662	44%
Aetnamajor	$114 - $1,229	47%
Cignamajor	$112 - $253	46%
Humanamajor	$109 - $249	45%
Ambetter (Centene)	$328 - $746	135%
AmeriHealth	$112 - $253	46%
Geisinger	$112 - $1,082	46%
HealthPartners	$114 - $492	47%
UPMC Health Plan	$115 - $1,199	47%
+ 5 smaller / regional plans	$116 - $1,435

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 Lehigh Valley Hospital - Macungie 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 Lehigh Valley Hospital - Macungie

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

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