CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baptist Medical Center - Nassau

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $126
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Baptist Medical Center - Nassau is $126. 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 0.52x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $126 (52%)
Ins. Median: $126 (52% 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 Of Georgia $105 43%
Daniel Memorial $105 43%
Humana $105 43%
Nassaua County Sheriff'S Office $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 $167 69%
Coventry Workers Comp $167 69%
Community Hospice Of Northeast Florida $243 100%
Pace $243 100%
Tomorrow'S Rainbow $243 100%
Va Ccn $243 100%
UnitedHealthcare $245 101%
Devoted $257 105%
Upmc $267 110%
Ambetter / Centene $582 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals