CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ascension St Vincent's Riverside

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$261

about 1.1× the $244 Medicare rate · typically $184–$367

modeled estimate · not a bill or quote

What this hospital charges insurers

$289

About the fair price

about $28 over the fair price · 1.2× Medicare

Medicare pays $244 Fair price $261 This hospital $289 Cash price $907 Hospital's list price $2,451

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $289

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $261 (about 1.1× the $244 Medicare rate). Ascension St Vincent's Riverside charges insurers about $289, or about $907 in cash — about the fair price. Located in Jacksonville, FL.

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	$245	101%
Blue Cross Blue Shieldmajor	$243	100%
Aetnamajor	$243 - $1,140	100%
Cignamajor	$245 - $1,088	101%
Humanamajor	$235 - $427	96%
Ambetter (Centene)	$461	189%
AvMed	$437	179%
Bright Health	$328 - $352	135%
Molina	$449	184%
Oscar Health	$388	159%
WellCare	$243	100%
+ 11 smaller / regional plans	$243 - $546

Government programs also on file: Medicare, Military & VA.

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 907), 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 Ascension St Vincent's Riverside 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 (%)

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Other Procedures at Ascension St Vincent's Riverside

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

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