CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $261
  • Cash Discount Price: $881
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sarasota Memorial Hospital - Venice is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $881. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.07x the Medicare baseline. Located in 2600 Laurel Road East, North Venice, FL.
Cash / Self-Pay
$881

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $881 (361%)
Insurance Median: $261 (107%)
Cash: $881 (361% of Medicare)
Ins. Median: $261 (107% 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
Simply Healthcare $105 - $111 43%
Sunshine State $111 46%
Molina $114 47%
Amerihealth Caritas $116 48%
Community Care Plan $116 48%
Florida Community Care $116 - $267 48%
Blue Cross Blue Shield $243 100%
Aetna $250 - $1,762 103%
UnitedHealthcare $250 - $1,654 103%
Simply Freedom Optimum $255 105%
Wellcare $255 105%
Ambetter / Centene $655 269%
Careworks $1,069 439%
Enlyte $1,069 439%
Avmed $1,608 660%
Usa Managed Care $1,762 723%
First Health $1,828 750%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 Laurel Road East, North Venice, FL 34275
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals