CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Halifax Health Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $402
  • Cash Discount Price: $976
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Halifax Health Medical Center is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $976. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$976

Average discount available for prompt cash payment at this facility.

Insurance Median
$402

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: $976 (400%)
Insurance Median: $402 (165%)
Cash: $976 (400% of Medicare)
Ins. Median: $402 (165% 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
Coventry $106 - $1,119 43%
Hcra $106 43%
Humana $106 - $483 43%
Medicaid / KanCare $106 43%
Molina $106 - $247 43%
UnitedHealthcare $106 - $1,063 43%
West Volusia $106 43%
Aetna $111 - $1,063 46%
Independent Living Systems $111 - $255 46%
Simply Healthcare Plans $111 46%
Sunshine State Health Plan $111 - $485 46%
Caresource Network $117 48%
Embs $206 - $1,505 85%
Tricare $226 93%
Florida Healthcare - Hecn $229 - $606 94%
Americas Choice Provider Network $243 - $1,594 100%
Blue Cross Blue Shield $243 - $779 100%
Cigna $243 100%
Division Of The Blind $243 100%
Freedom Health $243 100%
Medicare (plans) $243 100%
Optimum Healthcare $243 100%
Wellcare $243 100%
Devoted Health $252 103%
Longevity $255 105%
Prime Health Services $255 - $1,063 105%
Clear Spring Health Of Fl $264 108%
Avmed $308 - $886 126%
County Of Volusia Corrections $335 - $886 137%
A&G Admin $342 - $903 140%
Volusia County Employee $342 - $903 140%
Oscar $402 - $1,063 165%
Volusia $402 - $1,240 165%
Sim Plan Pay $436 - $1,151 179%
Hrgi $469 - $1,240 192%
Plotkin Consulting $469 - $1,240 192%
Employers Health Network $485 199%
Fhcp $490 201%
Evolutions International $502 - $1,328 206%
Centivo $522 214%
Florida Healthcare $527 216%
Summit America $536 - $1,417 220%
Claimdoc $546 224%
Integrated Health Plan $603 - $1,594 247%
Multiplan $603 - $1,594 247%
Three Rivers $636 - $1,682 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals