CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $2,908
  • Cash Discount Price: $8,268
  • vs. Medicare Baseline: 11.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Lawnwood Hospital is $2,908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,268. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.93x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$8,268

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,908

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: $8,268 (3392%)
Insurance Median: $2,908 (1193%)
Cash: $8,268 (3392% of Medicare)
Ins. Median: $2,908 (1193% 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 1193% of the Medicare baseline (a markup of 1093%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $1,006 71%
Careworks (Rockport) $177 - $1,028 73%
Prime Health $177 - $7,441 73%
Pinnacol Workers Comp $377 155%
Multiplan $393 - $7,737 161%
Cigna $586 - $5,291 240%
Freedom Health $783 - $1,456 321%
Optimum $783 321%
Avmed $1,183 - $4,551 485%
Simply Healthcare Plans $1,183 485%
Vail Health $1,245 - $1,257 511%
Kaiser $1,638 - $2,935 672%
United $1,696 - $4,096 696%
Molina $1,729 - $2,458 709%
Oscar $1,729 709%
Health Sun Health Plan $1,939 795%
Simply Healthcare $2,139 877%
Sunshine State Health Plan $2,321 952%
Bright Health $2,458 - $2,480 1008%
Aetna $2,731 - $4,365 1120%
Office Of Sheiff Highland Co $3,186 1307%
Humana $3,368 - $3,641 1382%
United Ppo $4,005 1643%
Plotkin Health $4,551 1867%
Prime Health Sherriff $4,551 1867%
Western Plains Community Health $5,325 - $5,374 2184%
Northcare $5,734 - $5,787 2352%
Physician Health Partners $5,734 - $5,787 2352%
Blue Cross Blue Shield $6,062 - $6,118 2487%
Medical Development International $6,553 - $6,614 2688%
Evernorth Bh $7,282 2987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals