CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Larkin Community Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$225

about 0.9× the $244 Medicare rate · typically $200–$448

modeled estimate · not a bill or quote

What this hospital charges insurers

$231

About the fair price

about $6 over the fair price · 0.9× Medicare

Medicare pays $244 Fair price $225 This hospital $231 Cash price $628 Hospital's list price $898

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $231

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $225 (about 0.9× the $244 Medicare rate). Larkin Community Hospital charges insurers about $231, or about $628 in cash — about the fair price. Located in South Miami, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$42 - $328	17%
Blue Cross Blue Shieldmajor	$230 - $804	94%
Aetnamajor	$34 - $1,745	14%
Cignamajor	$436	179%
Humanamajor	$105 - $1,745	43%
Ambetter (Centene)	$105	43%
AvMed	$50 - $1,745	21%
Bright Health	$50 - $2,094	21%
Molina	$105	43%
Oscar Health	$3,490	1432%
+ 22 smaller / regional plans	$33 - $1,745

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 628), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Larkin Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Larkin Community Hospital

Compare: Ultrasound, leg veins (duplex) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.