CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $3,601
Cash Discount Price: $8,708
vs. Medicare Baseline: 14.77x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Fort Walton-Destin Hospital is $3,601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,708. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.77x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$8,708

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,601

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: $8,708 (3572%)

Insurance Median: $3,601 (1477%)

Cash: $8,708 (3572% of Medicare)

Ins. Median: $3,601 (1477% 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 1477% of the Medicare baseline (a markup of 1377%). 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 - $976	66%
Prime Health	$165 - $997	68%
Careworks (Rockport Community)	$170 - $1,028	70%
Oscar	$1,128 - $1,136	463%
Simply	$1,336 - $1,346	548%
Simply Healthcare	$1,449 - $1,460	594%
Cigna	$1,510 - $3,627	619%
Molina Healthcare	$1,648 - $2,797	676%
United	$1,787 - $3,933	733%
Avmed	$2,082 - $4,370	854%
Sunshine State Health Plan	$2,212 - $2,229	907%
Aetna	$2,603 - $2,622	1068%
Humana	$3,297 - $3,321	1353%
Plotkin Health	$4,338 - $4,370	1780%
Prime Health Sheriff	$4,338 - $4,370	1780%
Evolutions Healthcare	$5,639 - $7,866	2313%
Naphcare	$5,639 - $5,681	2313%
Multiplan	$6,767 - $7,429	2776%
Evernorth	$6,941 - $6,992	2847%
Ppo Next	$7,375 - $7,429	3025%
Novanet	$7,808 - $7,866	3203%
Beacon Health Options	$8,676 - $8,740	3559%

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 $8,708.
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 Fort Walton-Destin 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.