CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Miami Hospital and Clinics

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $755
Cash Discount Price: $340
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Miami Hospital and Clinics is $755. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.10x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$340

Average discount available for prompt cash payment at this facility.

Insurance Median

$755

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: $340 (139%)

Insurance Median: $755 (310%)

Cash: $340 (139% of Medicare)

Ins. Median: $755 (310% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 310% of the Medicare baseline (a markup of 210%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$244 - $650	100%
Aetna	$263 - $691	108%
Solis Health	$268	110%
Humana	$277	114%
Careplus	$315	129%
Sunshine Health	$315	129%
Molina Healthcare Of Fl	$340	139%
Amerihealth Caritas Fl	$353	145%
Oscar Health Of Fl	$353	145%
Cigna	$515 - $620	211%
Curative	$667	274%
Avmed	$718 - $818	295%
Employers Health Network	$755	310%
Simply Healthcare	$755	310%
First Health	$818	336%
Health First New York Health Insurance	$818	336%
Broward Health	$881	361%
Blue Cross Blue Shield	$908 - $1,278	372%
Beech Street	$1,007	413%
Dimension Health	$1,007	413%
Multiplan	$1,007	413%

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 $340.
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 University of Miami Hospital and Clinics 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.