CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jay Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $247
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Jay Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$247

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: $107 (44%)
Insurance Median: $247 (101%)
Cash: $107 (44% of Medicare)
Ins. Median: $247 (101% 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
Wellcare $53 - $157 22%
Aetna $106 - $340 43%
Cha Health Plan $106 43%
Simply Healthcare Healthy Kids $106 43%
Humana $111 - $247 46%
Staywell $111 46%
Sunshine Health $111 46%
Bc Fl $157 64%
UnitedHealthcare $157 - $177 64%
Fl Community Care Ltc $174 71%
Medicare (plans) $221 91%
Hospice Emerald Coast $356 146%
Hospice Regency $356 146%
Hospice Vitas $356 146%
Cigna $395 - $712 162%
Fl Blue $421 - $591 173%
Private Healthcare $463 190%
First Health $505 207%
Multiplan $634 260%
Wc Corvel $676 - $869 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals