CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,227
Cash Discount Price: $6,815
vs. Medicare Baseline: 5.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Pasadena Hospital A Part of HCA Florid is $1,227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,815. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.03x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$6,815

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,227

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: $6,815 (2796%)

Insurance Median: $1,227 (503%)

Cash: $6,815 (2796% of Medicare)

Ins. Median: $1,227 (503% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 503% of the Medicare baseline (a markup of 403%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Corvel Corporation	$162 - $981	66%
Rockport Healthcare Group	$162 - $981	66%
Prime Health	$165 - $1,001	68%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$179 - $422	73%
Access 2 Healthcare Physicians Freedom Health	$274 - $646	112%
Access 2 Healthcare Physicians Optimum	$274 - $646	112%
Freedom Health Care	$297 - $700	122%
Optimum Healthcare	$297 - $700	122%
Avmed	$305 - $2,244	125%
Simply Healthcare	$484 - $1,383	199%
Oscar	$571 - $1,347	234%
United	$625 - $4,040	256%
Cigna	$686 - $1,616	281%
Molina	$724 - $2,424	297%
Evolutions Healthcare Systems	$876 - $8,259	359%
Sunshine State Health Plan	$971 - $2,289	398%
Humana	$1,067 - $2,514	438%
Aetna	$1,143 - $2,693	469%
Plotkin Health	$1,905 - $4,489	781%
Prime Health Sheriff	$1,905 - $4,489	781%
Multiplan	$2,857 - $7,631	1172%

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 $6,815.
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 HCA Florida Pasadena Hospital A Part of HCA Florid 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.