CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Capital Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $907
Cash Discount Price: $2,476
vs. Medicare Baseline: 3.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Capital Hospital is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,476. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.72x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$2,476

Average discount available for prompt cash payment at this facility.

Insurance Median

$907

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: $2,476 (1016%)

Insurance Median: $907 (372%)

Cash: $2,476 (1016% of Medicare)

Ins. Median: $907 (372% 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 372% of the Medicare baseline (a markup of 272%). 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 - $899	66%
Prime Health	$165 - $918	68%
Careworks (Rockport Community)	$170 - $946	70%
Oscar	$248 - $396	102%
Simply	$293 - $469	120%
Simply Healthcare	$318 - $509	130%
Cigna	$331 - $1,265	136%
Molina Healthcare	$362 - $975	149%
Humana	$381 - $610	156%
United	$386 - $1,372	158%
Avmed	$457 - $1,524	187%
Sunshine State Health Plan	$486 - $777	199%
Aetna	$571 - $914	234%
Plotkin Health	$952 - $1,524	391%
Prime Health Sheriff	$952 - $1,524	391%
Multiplan	$1,485 - $2,591	609%
Evernorth	$1,523 - $2,438	625%
Evolutions Healthcare	$1,618 - $2,591	664%
Ppo Next	$1,618 - $2,591	664%
Novanet	$1,714 - $2,743	703%
Beacon Health Options	$1,904 - $3,048	781%

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 $2,476.
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 Capital 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.