CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $228
Cash Discount Price: $1,025
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cleveland Clinic Martin North Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,025. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$1,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $1,025 (420%)

Insurance Median: $228 (94%)

Cash: $1,025 (420% of Medicare)

Ins. Median: $228 (94% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$26 - $664	11%
Avmed	$32 - $934	13%
Miami Childrens Health Plan	$32 - $243	13%
United	$32 - $964	13%
Careplus	$34 - $255	14%
Freedom Health	$34 - $255	14%
Independent Living Systems	$34 - $190	14%
Clear Spring Health	$35 - $274	14%
Cigna	$37 - $793	15%
Aetna	$40 - $1,647	16%
Multiplan	$48 - $271	20%
Amerihealth	$145	59%
Molina	$148	61%
Sunshine Health	$148	61%
Clarity Health	$164 - $1,190	67%
The Legacy Companies	$164 - $1,190	67%
Consociate Health	$190 - $1,372	78%
Humana	$243	100%
Wellcare	$243	100%
Devoted Health	$267	110%
Bmi	$867	356%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,025.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Martin North Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.