CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Palm Bay Hospital

Billing Code: 93970 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$694

about 2.8× the $244 Medicare rate · typically $409–$1,053

modeled estimate · not a bill or quote

What this hospital charges insurers

$608

Below the fair price — a good deal

about $86 under the fair price · 2.5× Medicare

Medicare pays $244 Fair price $694 This hospital $608 Cash price $303 Hospital's list price $1,211

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $608

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $694 (about 2.8× the $244 Medicare rate). Palm Bay Hospital charges insurers about $608, or about $303 in cash — below the fair price — a good deal. Located in Palm Bay, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$63 - $1,211	26%
Blue Cross Blue Shieldmajor	$671 - $742	275%
Aetnamajor	$111 - $1,332	46%
Cignamajor	$466 - $499	191%
Humanamajor	$107 - $1,211	44%
Amerigroup	$111 - $1,211	46%
Molina	$105 - $1,356	43%
+ 5 smaller / regional plans	$111 - $1,271

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 303), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Palm Bay Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Palm Bay Hospital

Compare: Ultrasound, leg veins (duplex) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.