CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Florida University Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,304
Cash Discount Price: $10,892
vs. Medicare Baseline: 9.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Florida University Hospital is $2,304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,892. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.45x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$10,892

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,304

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: $10,892 (4468%)

Insurance Median: $2,304 (945%)

Cash: $10,892 (4468% of Medicare)

Ins. Median: $2,304 (945% 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 945% of the Medicare baseline (a markup of 845%). 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
Careworks (Rockport)	$177 - $1,084	73%
Prime Health	$177 - $1,084	73%
Freedom Health	$937	384%
Avmed	$1,416 - $5,446	581%
Simply Healthcare Plans	$1,416	581%
Simply Healthcare	$1,470	603%
Oscar	$1,743	715%
Amerihealth Caritas	$1,852	760%
Molina	$2,069	849%
Cigna	$2,287	938%
Humana	$2,287 - $3,703	938%
Health Sun Health Plan	$2,320	952%
United Ppo	$2,581	1059%
Sunshine State Health Plan	$2,875	1179%
Aetna	$3,268	1341%
United	$4,901	2011%

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 $10,892.
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 University 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.