CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Jeff Davis Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $540
Cash Discount Price: $262
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Jeff Davis Hospital is $540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.22x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$540

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: $262 (107%)

Insurance Median: $540 (222%)

Cash: $262 (107% of Medicare)

Ins. Median: $540 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
Medicaid / KanCare	$124 - $544	51%
Humana	$126 - $863	52%
Peach_State	$126 - $202	52%
Wellcare	$126 - $202	52%
Medicare (plans)	$197 - $318	81%
Blue Cross Blue Shield	$201 - $761	82%
Care_Improvement_Plus	$201 - $321	82%
Pen_Network	$260	107%
Coventry_Hmo	$444 - $710	182%
Coventry_Pos	$444 - $710	182%
Uhc_Hmo	$476 - $761	195%
Uhc_Indemnity	$476 - $761	195%
Uhc_Ppo	$476 - $761	195%
Coventry_Ppo	$489 - $782	201%
Beech_Street	$508 - $812	208%
Care_Source	$508 - $812	208%
Cigna	$508 - $812	208%
One_Health_Ppo	$508 - $812	208%
Choicecare	$540 - $863	222%
Community_Care_Network	$540 - $863	222%
Georgia_Hospital_Network	$540 - $863	222%
Industry_Buying_Group	$540 - $863	222%
Novanet	$540 - $863	222%
Principal_Health_Care_Of_Georgia	$540 - $863	222%
Three_Rivers_Provider_Network	$540 - $863	222%
Usa_Managed_Care	$540 - $863	222%
Memorial_Health_Partners	$572 - $914	235%
Tricare	$591 - $944	242%
Multiplan	$603 - $964	247%

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 $262.
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 Jeff Davis 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.