CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Westside Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,658
Cash Discount Price: $7,101
vs. Medicare Baseline: 6.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Westside Regional Medical Center is $1,658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,101. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.80x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

$7,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,658

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: $7,101 (2913%)

Insurance Median: $1,658 (680%)

Cash: $7,101 (2913% of Medicare)

Ins. Median: $1,658 (680% 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 680% of the Medicare baseline (a markup of 580%). 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	$611 - $1,136	251%
Optimum	$611	251%
Simply Healthcare Plans	$923	379%
Simply Healthcare	$959	393%
Oscar	$1,136	466%
Amerihealth Caritas	$1,207	495%
Molina	$1,207 - $1,917	495%
Avmed	$1,491 - $3,550	612%
Cigna	$1,491	612%
Humana	$1,491 - $2,414	612%
Health Sun Health Plan	$1,513	621%
Aids Healthcare	$1,562 - $8,521	641%
Mmm Of Fl (Health Advantage Plan)	$1,633	670%
United Ppo	$1,683	690%
Sunshine State Health Plan	$1,875	769%
Aetna	$2,130	874%
United	$3,195	1311%
Plotkin Health	$3,550	1456%
Prime Health Sherriff	$3,550	1456%
Medica Healthcare	$4,190	1719%
Multiplan	$5,326 - $6,036	2185%

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 $7,101.
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 Westside Regional 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.