CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Medical Center Beaches

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$233

about 1.0× the $244 Medicare rate · typically $158–$429

modeled estimate · not a bill or quote

What this hospital charges insurers

$126

Below the fair price — a good deal

about $107 under the fair price · 0.5× Medicare

Medicare pays $244 Fair price $233 This hospital $126

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

A typical price — 3 charge more and 4 charge less, among the 9 FL hospitals compared.

Cheapest $107 Priciest $151

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $233 (about 1.0× the $244 Medicare rate). Baptist Medical Center Beaches charges insurers about $126 — below the fair price — a good deal. Located in Jacksonville Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$116 - $245	48%
Aetnamajor	$126 - $247	52%
Ambetter (Centene)	$582	239%
Amerigroup	$105	43%
AmeriHealth	$116	48%
Devoted Health	$257	105%
Molina	$125	51%
Simply Healthcare	$111 - $126	46%
UPMC Health Plan	$267	110%
+ 7 smaller / regional plans	$105 - $255

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Medical Center Beaches is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Medical Center Beaches

Compare: Ultrasound, leg veins (duplex) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.