CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Larkin Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $243
  • Cash Discount Price: $628
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Larkin Community Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $628. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$628

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $628 (258%)
Insurance Median: $243 (100%)
Cash: $628 (258% of Medicare)
Ins. Median: $243 (100% 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
Medicare (plans) $24 - $1,832 10%
Jipa Network-All Plans $33 14%
Aetna $34 - $1,745 14%
Fci-All Plans $34 - $279 14%
Global Excel-All Plans $34 - $1,047 14%
Clear Springs Hlth-All Plans $35 - $255 14%
Medicaid / KanCare $35 - $111 14%
Fdc-All Plans $39 16%
UnitedHealthcare $42 - $328 17%
Avmed-All Plans $50 - $1,745 21%
Bright Health-All Other Plans $50 - $2,094 21%
Coventry Comml-All Plans $50 - $1,745 21%
United Prop Casualty-All Plans $65 - $175 27%
Corvel Mcaid Workers Comp $95 39%
Sunshine Behavioral $95 39%
Ambetter / Centene $105 43%
Community Care Phks Mcaid-All Other Plans $105 43%
Florida Comm Care Mcaid $105 43%
Humana $105 - $1,745 43%
Magellan Complete Care $105 43%
Molina Exch Marketplace-All Other Plans $105 43%
Blue Cross Blue Shield $230 - $804 94%
Florida Comm Care Mcare-All Other Plans $243 100%
Ops Maritime-All Plans $243 100%
Opus Hospice Ip Only-All Plans $243 100%
Preferred Care Partners Mcare-All Plans $243 100%
Unicare Simply Mcare Ppo-All Plans $255 105%
Wellpath-All Plans $267 110%
Allianz (Azga)-All Plans $315 129%
Cigna $436 179%
Healthsun-All Plans $524 215%
Star Network-All Plans $698 286%
Jmh Health Plan Hmo/Ppo-All Other Plans $960 394%
Haa Preferred Partners-All Plans $1,047 430%
Corvel Mcare Workers Comp-All Plans $1,570 644%
Careplus Health-All Other Plans $1,745 716%
Centurion-All Plans $1,745 716%
Doctors Healthcare-All Plans $1,745 716%
First Med Hp Of Fl-All Plans $1,745 716%
Florida Health Solution/Hmo-All Plans $1,745 716%
Oscar Health-All Plans $3,490 1432%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals