CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,741
Cash Discount Price: $9,900
vs. Medicare Baseline: 11.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Memorial Hospital is $2,741. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,900. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.24x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$9,900

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,741

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: $9,900 (4061%)

Insurance Median: $2,741 (1124%)

Cash: $9,900 (4061% of Medicare)

Ins. Median: $2,741 (1124% 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 1124% of the Medicare baseline (a markup of 1024%). 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
City Of Jacksonville	$162 - $966	66%
Corvel Corporation	$162 - $966	66%
Prime Health	$165 - $986	68%
Optimum Healthcare	$832	341%
Avmed	$1,188 - $2,772	487%
Simply Healthcare	$1,257 - $1,525	516%
United	$1,267 - $4,455	520%
Oscar	$1,584	650%
Positive Healthcare	$2,178	893%
Cigna	$2,366 - $2,802	971%
Sunshine State Health Plan	$2,524	1035%
Molina Healthcare	$2,673	1097%
Centurion	$2,741	1124%
Humana	$2,871	1178%
Aetna	$2,970	1218%
Corizon	$2,970	1218%
Plotkin Health	$4,950	2031%
Multiplan	$7,722 - $8,415	3168%
Evernorth	$7,920	3249%
Evolutions Healthcare	$7,920 - $8,415	3249%
Ppo Next	$8,415	3452%
Novanet	$8,910	3655%

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 $9,900.
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 Memorial 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.