CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: North Okaloosa Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $462
  • Cash Discount Price: $2,398
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at North Okaloosa Medical Center is $462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,398. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.90x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$2,398

Average discount available for prompt cash payment at this facility.

Insurance Median
$462

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: $2,398 (984%)
Insurance Median: $462 (190%)
Cash: $2,398 (984% of Medicare)
Ins. Median: $462 (190% 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.

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 $105 43%
Medicaid / KanCare $105 43%
UnitedHealthcare $105 - $2,111 43%
Simply Healthcare $107 - $257 44%
Humana $108 - $257 44%
Integral Health $111 46%
Wellcare $111 - $253 46%
Magellan Health $113 46%
Prestige Health $122 50%
Veterans Eval Services $228 94%
Tricare $237 97%
Aetna $245 - $7,995 101%
Blue Cross Blue Shield $245 - $618 101%
Cigna $245 - $8,315 101%
Medicare (plans) $245 101%
Node Champva $249 102%
Node Non Par Hospice Agree $249 102%
Node Va $249 102%
Florida Department Of Corrections $270 111%
Node Us Dept Of Labor $311 128%
Oscar $462 190%
State Auto Insurance Fl $498 204%
Occunet $623 256%
Evolutions $976 - $9,381 400%
Usa Managed Care Work Comp Fl $976 400%
Prime Health Work Comp Fl $997 409%
Amcomp Workers Comp $1,028 422%
Self Pay $1,919 - $2,878 787%
Corizon Health Inc $3,603 1478%
Phcs $9,594 3936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals