CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Shands Jacksonville

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$108

about 0.9× the $118 Medicare rate · typically $58–$161

modeled estimate · not a bill or quote

Medicare pays $118 Fair price $108 Cash price $137 Hospital's list price $249

How we calculate the fair BaseRate →

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	$45 - $407	38%
Blue Cross Blue Shieldmajor	$120 - $412	102%
Aetnamajor	$57 - $487	48%
Cignamajor	$154 - $366	131%
Humanamajor	$111 - $502	94%
Ambetter (Centene)	$375	319%
AmeriHealth	$107 - $266	91%
AvMed	$390	332%
Devoted Health	$95 - $236	81%
Health Net	$100 - $248	85%
Molina	$95 - $414	81%
Simply Healthcare	$95 - $236	81%
WellCare	$71 - $177	60%
+ 18 smaller / regional plans	$90 - $561

Excludes 9 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 137), 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: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Shands Jacksonville is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
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 Shands Jacksonville

Compare: New patient office visit (30-44 min) at other FL hospitals

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