CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $304
  • Cash Discount Price: $449
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Geisinger Jersey Shore Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.
Cash / Self-Pay
$449

Average discount available for prompt cash payment at this facility.

Insurance Median
$304

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: $449 (184%)
Insurance Median: $304 (125%)
Cash: $449 (184% of Medicare)
Ins. Median: $304 (125% 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.

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
Advantra $97 40%
Aetna $97 - $554 40%
American Progressive $97 40%
Medicare (plans) $97 40%
Blue Cross Blue Shield $98 - $429 40%
Humana $98 40%
Geisinger Health Plan $145 - $355 59%
Medicaid / KanCare $147 60%
Amerihealth $161 66%
Geisinger Family Plan $161 66%
Upmc For You $172 71%
Health Partners $176 72%
Upmc Chip $183 75%
Ambetter / Centene $232 95%
Prison Health Services $287 118%
UnitedHealthcare $321 132%
Cigna $348 143%
Christian Healthcare Ministries $362 149%
Medical Development International $507 208%
Integrated Health Plan $543 223%
Prime Health Services $543 223%
Multiplan $579 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 Thompson Street, Jersey Shore, PA 17740
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals