CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Holy Cross Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$111

about 0.8× the $136 Medicare rate · typically $69–$165

modeled estimate · not a bill or quote

What this hospital charges insurers

$87

Below the fair price — a good deal

about $24 under the fair price · 0.6× Medicare

Medicare pays $136 Fair price $111 This hospital $87 Hospital's list price $355

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $39 Priciest $87

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

A fair price for a Office visit, established patient (30-39 min) is about $111 (about 0.8× the $136 Medicare rate). Holy Cross Hospital charges insurers about $87 — below the fair price — a good deal. Located in Ft Lauderdale, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$51 - $244	38%
Blue Cross Blue Shieldmajor	$51 - $135	38%
Aetnamajor	$51 - $175	38%
Cignamajor	$51 - $3,079	38%
Humanamajor	$51 - $111	38%
Kaiser Permanentemajor	$132	97%
Ambetter (Centene)	$51 - $158	38%
AvMed	$97 - $539	72%
Clover Health	$87	64%
GEHA	$100 - $108	74%
Health Net	$51 - $344	38%
HealthPartners	$51	38%
Meridian	$51 - $87	38%
Molina	$51 - $155	38%
MVP Health Care	$3,079	2271%
Oscar Health	$115 - $150	85%
Paramount	$51	38%
Presbyterian	$51 - $87	38%
Tufts Health Plan	$51	38%
UPMC Health Plan	$100 - $3,079	74%
WellMed	$87	64%
WellSense	$51	38%
+ 356 smaller / regional plans	$51 - $344

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 12 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, 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: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Holy Cross Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
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 Holy Cross Hospital

Compare: Office visit, established patient (30-39 min) at other FL hospitals

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