CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,255
Cash Discount Price: $6,569
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Bayonet Point Hospital is $1,255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,569. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.15x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

$6,569

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,255

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: $6,569 (2695%)

Insurance Median: $1,255 (515%)

Cash: $6,569 (2695% of Medicare)

Ins. Median: $1,255 (515% 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 515% of the Medicare baseline (a markup of 415%). 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 - $981	66%
Rockport Healthcare Group	$162 - $981	66%
Prime Health	$165 - $1,001	68%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$299 - $319	123%
Access 2 Healthcare Physicians Freedom Health	$458 - $488	188%
Access 2 Healthcare Physicians Optimum	$458 - $488	188%
Freedom Health Care	$496 - $529	203%
Optimum Healthcare	$496 - $529	203%
Avmed	$509 - $1,695	209%
Simply Healthcare	$807 - $1,044	331%
Oscar	$954 - $1,017	391%
United	$1,042 - $3,052	427%
Cigna	$1,144 - $1,221	469%
Molina	$1,208 - $1,831	496%
Evolutions Healthcare Systems	$1,462 - $6,239	600%
Sunshine State Health Plan	$1,621 - $1,729	665%
Humana	$1,780 - $1,899	730%
Aetna	$1,907 - $2,034	782%
Plotkin Health	$3,178 - $3,391	1304%
Prime Health Sheriff	$3,178 - $3,391	1304%
Multiplan	$4,767 - $5,764	1956%

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 $6,569.
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 Bayonet Point 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.