CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Gulf Breeze Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $374
  • Cash Discount Price: $351
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Gulf Breeze Hospital is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.53x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.
Cash / Self-Pay
$351

Average discount available for prompt cash payment at this facility.

Insurance Median
$374

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: $351 (144%)
Insurance Median: $374 (153%)
Cash: $351 (144% of Medicare)
Ins. Median: $374 (153% 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.

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
Aetna $106 - $1,710 43%
Cha Health Plan $106 43%
UnitedHealthcare $106 - $621 43%
Humana $111 - $247 46%
Sunshine Health $111 46%
Wellcare $111 - $255 46%
Fl Community Care Ltc $113 46%
Simply Healthcare Healthy Kids $122 50%
Medicare (plans) $211 87%
Hospice Covenant $243 100%
Fl Blue $315 - $605 129%
Pensacola $351 144%
Bc Fl $376 154%
Hospice Regency $703 288%
Wc Corvel $869 - $2,226 356%
Cigna $1,113 - $2,343 457%
Hospice Emerald Coast $1,172 481%
Private Healthcare $1,523 625%
Uwf Athletes $1,523 625%
First Health $1,628 668%
Choicecare $1,757 721%
Multiplan $2,085 855%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals