CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,902
Cash Discount Price: $10,934
vs. Medicare Baseline: 7.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida Oak Hill Hospital is $1,902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,934. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.80x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$10,934

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,902

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: $10,934 (4485%)

Insurance Median: $1,902 (780%)

Cash: $10,934 (4485% of Medicare)

Ins. Median: $1,902 (780% 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 780% of the Medicare baseline (a markup of 680%). 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	$514	211%
Access 2 Healthcare Physicians Freedom Health	$787	323%
Access 2 Healthcare Physicians Optimum	$787	323%
Freedom Health Care	$853	350%
Optimum Healthcare	$853	350%
Avmed	$875 - $2,733	359%
Simply Healthcare	$1,389 - $1,684	570%
Oscar	$1,640	673%
United	$1,793 - $4,920	736%
Cigna	$1,902	780%
Molina	$2,077 - $2,952	852%
Evolutions Healthcare Systems	$2,515 - $10,059	1032%
Sunshine State Health Plan	$2,788	1144%
Humana	$3,061	1256%
Aetna	$3,280	1346%
Plotkin Health	$5,467	2243%
Prime Health Sheriff	$5,467	2243%
Multiplan	$8,200 - $9,294	3364%

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 $10,934.
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 Oak Hill 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.