CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $247
Cash Discount Price: $195
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Baptist Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$195

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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: $195 (80%)

Insurance Median: $247 (101%)

Cash: $195 (80% of Medicare)

Ins. Median: $247 (101% 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
Aetna	$29 - $1,710	12%
Pensacola	$39 - $351	16%
Fl Blue	$55 - $611	23%
UnitedHealthcare	$69 - $621	28%
Hospice Regency	$78 - $703	32%
Bc Fl	$81 - $438	33%
Cha Health Plan	$106	43%
Humana	$111 - $247	46%
Mh Sunshine Mcaid	$111	46%
Staywell	$111	46%
Sunshine Health	$111	46%
Fl Community Care Ltc	$113	46%
Simply Healthcare Healthy Kids	$122	50%
Cigna	$124 - $2,343	51%
Hospice Emerald Coast	$130 - $1,172	53%
Escambia	$156 - $1,406	64%
Private Healthcare	$169 - $1,523	69%
Uwf Athletes	$169 - $1,523	69%
First Health	$181 - $1,628	74%
Wc Corvel	$185 - $2,226	76%
Choicecare	$195 - $1,757	80%
Mh Choicecare	$195 - $1,757	80%
Multiplan	$231 - $2,085	95%
Hospice Covenant	$243	100%
Medicare (plans)	$243	100%
Healthspring Of Fl Al	$250	103%
Mh Wellcare	$255	105%
Wellcare	$255	105%

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 $195.
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 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.