CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Shands Jacksonville

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $448
  • Cash Discount Price: $1,250
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Shands Jacksonville is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,250. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.84x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$1,250

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $1,250 (513%)
Insurance Median: $448 (184%)
Cash: $1,250 (513% of Medicare)
Ins. Median: $448 (184% 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
Carelon Health $116 48%
Humana $116 - $1,931 48%
Aetna $117 - $1,872 48%
Florida Community Care $121 50%
Amerihealth Caritas Florida $126 52%
Community Care Plan $126 52%
Molina $126 - $315 52%
Simply Healthcare $127 52%
Ameri-Plus Preferred Care $249 102%
Blue Cross Blue Shield $249 - $1,152 102%
Capital Health Plan $249 - $1,136 102%
Beacon Health Strategies $257 105%
Careplus Health Plan $257 105%
Florida Health Care Plan $257 - $437 105%
UnitedHealthcare $259 - $950 106%
Devoted Health Plan $262 - $274 107%
Positive Healthcare Partners $267 - $274 110%
Wellcare Of Florida $292 120%
Florida Complete Care $311 128%
Wellpath $400 164%
Ambetter / Centene $403 165%
Volusia Health Network $954 391%
Northeast Florida State Hospital $1,000 410%
North Florida Evaluation & Treatment Center $1,068 438%
Centivo $1,250 513%
Avmed $1,276 523%
Disney Cruise Line $1,363 559%
Cigna $1,408 578%
Health First Health Plan $1,477 - $1,591 606%
Mental Health Associates $1,477 606%
Prime Health Services $1,591 - $1,704 653%
Florida Health Alliance $1,636 671%
Archbold Medical Center $1,704 699%
Genex $1,704 699%
Rockport Provider $1,704 699%
Corvel Corp $1,931 792%
First Health $1,931 792%
Florida Hospital Healthcare System $1,931 792%
Medsave Usa Tpa $1,931 792%
Fringe Benefits Coordinators $2,045 - $2,159 839%
Multiplan $2,045 839%
Novanet $2,045 839%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals