CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sarasota Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $127
Cash Discount Price: $881
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sarasota Memorial Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $881. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.52x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$881

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $881 (361%)

Insurance Median: $127 (52%)

Cash: $881 (361% of Medicare)

Ins. Median: $127 (52% 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
Molina Oncology	$26 - $126	11%
Simply Healthcare Oncology	$26 - $123	11%
Sunshine State Oncology	$26 - $123	11%
Amerihealth Caritas Oncology	$27 - $128	11%
Community Care Plan Oncology	$27 - $128	11%
Blue Cross Blue Shield	$31 - $243	13%
Florida Community Care Oncology	$32 - $181	13%
UnitedHealthcare	$34 - $1,654	14%
Wellcare Oncology	$35 - $154	14%
Simply Freedom Optimum Oncology	$37 - $160	15%
Aetna	$38 - $1,762	16%
Oscar Oncology	$56 - $248	23%
Ambetter / Centene	$87 - $655	36%
Simply Healthcare	$105 - $111	43%
Sunshine State	$111	46%
Molina	$114	47%
Amerihealth Caritas	$116	48%
Community Care Plan	$116	48%
Florida Community Care	$116 - $267	48%
Simply Freedom Optimum	$255	105%
Wellcare	$255	105%
Careworks	$1,069	439%
Enlyte	$1,069	439%
Avmed	$1,608	660%
Usa Managed Care	$1,762	723%
First Health	$1,828	750%

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 $881.
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 Sarasota Memorial 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.