CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Baycare Alliant Hospital Inc

Billing Code: 93970 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$268

about 1.1× the $244 Medicare rate · typically $82–$903

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Below the fair price — a good deal

about $157 under the fair price · 0.5× Medicare

Medicare pays $244 Fair price $268 This hospital $111 Cash price $1,094 Hospital's list price $1,823

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $107 Priciest $151

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, leg veins (duplex) is about $268 (about 1.1× the $244 Medicare rate). Baycare Alliant Hospital Inc charges insurers about $111, or about $1,094 in cash — below the fair price — a good deal. Located in Dunedin, 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	$107 - $1,185	44%
Blue Cross Blue Shieldmajor	$1,823	748%
Aetnamajor	$113	46%
Cignamajor	$1,823	748%
Humanamajor	$109	45%
AvMed	$1,258 - $1,313	516%
Molina	$111	46%
Simply Healthcare	$111	46%
+ 4 smaller / regional plans	$106 - $116

Excludes 3 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 1,094), 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 Baycare Alliant Hospital Inc 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 Baycare Alliant Hospital Inc

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

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