CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University Hospital and Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,073
Cash Discount Price: $4,407
vs. Medicare Baseline: 4.40x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University Hospital and Medical Center is $1,073. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,407. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.40x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$4,407

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,073

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: $4,407 (1808%)

Insurance Median: $1,073 (440%)

Cash: $4,407 (1808% of Medicare)

Ins. Median: $1,073 (440% 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 440% of the Medicare baseline (a markup of 340%). 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	$173 - $1,062	71%
Careworks (Rockport)	$177 - $1,084	73%
Prime Health	$177 - $1,084	73%
Freedom Health	$379 - $705	155%
Optimum	$379	155%
Avmed	$573 - $2,203	235%
Simply Healthcare Plans	$573	235%
Simply Healthcare	$595	244%
Oscar	$705	289%
Amerihealth Caritas	$749	307%
Molina	$837 - $1,190	343%
Cigna	$925	379%
Humana	$925 - $1,498	379%
Health Sun Health Plan	$939	385%
Mmm Of Fl (Health Advantage Plan)	$1,014	416%
United Ppo	$1,044	428%
Sunshine State Health Plan	$1,163	477%
Aetna	$1,322	542%
United	$1,983	813%
Plotkin Health	$2,203	904%
Prime Health Sherriff	$2,203	904%
Medica Healthcare	$2,556	1049%
Multiplan	$3,305 - $3,746	1356%
Evernorth Bh	$3,525	1446%

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 $4,407.
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 University Hospital and Medical Center 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.