CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Mercy Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,658
Cash Discount Price: $11,217
vs. Medicare Baseline: 10.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Mercy Hospital is $2,658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,217. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.90x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$11,217

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,658

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: $11,217 (4601%)

Insurance Median: $2,658 (1090%)

Cash: $11,217 (4601% of Medicare)

Ins. Median: $2,658 (1090% 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 1090% of the Medicare baseline (a markup of 990%). 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	$177 - $1,053	73%
Careworks (Rockport)	$180 - $1,075	74%
Prime Health	$180 - $1,075	74%
Freedom Health	$965 - $1,795	396%
Optimum	$965	396%
Avmed	$1,346 - $5,608	552%
Simply Healthcare Plans	$1,458	598%
Oscar	$1,795	736%
Amerihealth Caritas	$1,907	782%
Molina	$2,131 - $3,029	874%
Cigna	$2,356	966%
Humana	$2,356 - $3,814	966%
Health Sun Health Plan	$2,389	980%
Aids Healthcare	$2,468 - $13,460	1012%
Mmm Of Fl (Health Advantage Plan)	$2,580	1058%
United Ppo	$2,658	1090%
Sunshine State Health Plan	$2,916	1196%
Aetna	$3,365	1380%
United	$5,048	2071%
Plotkin Health	$5,608	2301%
Prime Health Sherriff	$5,608	2301%
Medica Healthcare	$6,618	2715%
Multiplan	$8,413 - $9,534	3451%
Evernorth Bh	$8,974	3681%

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 $11,217.
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 Mercy 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.