CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$186

about 0.8× the $244 Medicare rate · typically $115–$259

modeled estimate · not a bill or quote

What this hospital charges insurers

$161

Below the fair price — a good deal

about $25 under the fair price · 0.7× Medicare

Medicare pays $244 Fair price $186 This hospital $161 Cash price $449 Hospital's list price $724

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $137 Priciest $171

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 $186 (about 0.8× the $244 Medicare rate). Geisinger Jersey Shore Hospital charges insurers about $161, or about $449 in cash — below the fair price — a good deal. Located in Jersey Shore, 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	$321	132%
Blue Cross Blue Shieldmajor	$98 - $429	40%
Aetnamajor	$97 - $554	40%
Cignamajor	$348	143%
Humanamajor	$98	40%
Ambetter (Centene)	$232	95%
AmeriHealth	$161	66%
Geisinger	$145 - $355	59%
HealthPartners	$176	72%
UPMC Health Plan	$172 - $183	71%
+ 6 smaller / regional plans	$97 - $543

Government programs also on file: Medicare, Medicaid.

Excludes 2 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 449), 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 Geisinger Jersey Shore Hospital 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 Geisinger Jersey Shore Hospital

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

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