CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,349
Cash Discount Price: $7,497
vs. Medicare Baseline: 5.53x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida St Petersburg Hospital is $1,349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,497. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.53x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$7,497

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,349

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: $7,497 (3075%)

Insurance Median: $1,349 (553%)

Cash: $7,497 (3075% of Medicare)

Ins. Median: $1,349 (553% 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 553% of the Medicare baseline (a markup of 453%). 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	$197 - $464	81%
Access 2 Healthcare Physicians Freedom Health	$302 - $711	124%
Access 2 Healthcare Physicians Optimum	$302 - $711	124%
Freedom Health Care	$327 - $770	134%
Optimum Healthcare	$327 - $770	134%
Avmed	$335 - $2,469	137%
Simply Healthcare	$532 - $1,521	218%
Oscar	$629 - $1,481	258%
United	$687 - $4,444	282%
Cigna	$754 - $1,778	309%
Molina	$796 - $2,666	327%
Evolutions Healthcare Systems	$964 - $9,085	395%
Sunshine State Health Plan	$1,069 - $2,518	439%
Humana	$1,173 - $2,765	481%
Aetna	$1,257 - $2,963	516%
Plotkin Health	$2,095 - $4,938	859%
Prime Health Sheriff	$2,095 - $4,938	859%
Multiplan	$3,143 - $8,394	1289%

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 $7,497.
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 St Petersburg 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.