CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $152
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Baptist Health Medical Center - Jacksonville is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.62x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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%)

Insurance Median: $152 (62%)

Ins. Median: $152 (62% 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
Amerigroup Of Georgia	$105	43%
Caresource Of Georgia	$105	43%
Daniel Memorial	$105	43%
Humana	$105 - $116	43%
Peach State Health Plan	$105	43%
Simply Healthcare Plans	$111 - $126	46%
Simply Healthcare Plans - Cha	$111	46%
Amerihealth Caritas	$116	48%
Florida Community Care	$116 - $255	48%
Sunshine State Health Plan	$116	48%
United Community Plan	$116	48%
Vivida Health	$116	48%
Molina Healthcare Of Florida	$125	51%
Aetna	$126 - $247	52%
Corvel	$151 - $167	62%
Coventry Workers Comp	$151 - $167	62%
Non-Contracted	$154	63%
Community Hospice Of Northeast Florida	$242 - $243	99%
Pace	$242 - $243	99%
Tomorrow'S Rainbow	$242 - $243	99%
Va Ccn	$242 - $243	99%
UnitedHealthcare	$244 - $245	100%
Devoted	$256 - $257	105%
Upmc	$266 - $267	109%
Ambetter / Centene	$580 - $582	238%

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 $X.
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 Baptist Health Medical Center - Jacksonville 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.