CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Kendall Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,777
Cash Discount Price: $7,611
vs. Medicare Baseline: 7.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Kendall Hospital is $1,777. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,611. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.29x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$7,611

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,777

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: $7,611 (3122%)

Insurance Median: $1,777 (729%)

Cash: $7,611 (3122% of Medicare)

Ins. Median: $1,777 (729% 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 729% of the Medicare baseline (a markup of 629%). 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	$655 - $1,218	269%
Optimum	$655	269%
Avmed	$913 - $3,806	375%
Simply Healthcare Plans	$989	406%
Simply Healthcare	$1,027	421%
Oscar	$1,218	500%
Amerihealth Caritas	$1,294	531%
Molina	$1,446 - $2,055	593%
Cigna	$1,598	656%
Humana	$1,598 - $2,588	656%
Health Sun Health Plan	$1,621	665%
Aids Healthcare	$1,674 - $9,133	687%
Mmm Of Fl (Health Advantage Plan)	$1,751	718%
United Ppo	$1,804	740%
Sunshine State Health Plan	$1,979	812%
Aetna	$2,283	937%
United	$3,425	1405%
Plotkin Health	$3,806	1561%
Prime Health Sherriff	$3,806	1561%
Medica Healthcare	$4,414	1811%
Multiplan	$5,708 - $6,469	2342%
Evernorth Bh	$6,089	2498%

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 $7,611.
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 Kendall 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.