CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: HCA Florida Jfk Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $124
  • Cash Discount Price: $526
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at HCA Florida Jfk Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $526. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.05x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$526

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $526 (447%)
Insurance Median: $124 (105%)
Cash: $526 (447% of Medicare)
Ins. Median: $124 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Aetna $32 - $402 27%
Blue Cross Blue Shield $34 - $308 29%
Freedom Health $39 - $214 33%
Optimum $39 - $115 33%
Simply Healthcare Plans $60 - $174 51%
Molina $78 - $362 66%
Corvel Corporation $85 - $265 72%
Careworks (Rockport) $86 - $271 73%
Prime Health $86 - $271 73%
Cigna $96 - $281 82%
Humana $96 - $456 82%
Health Sun Health Plan $98 - $285 83%
Aids Healthcare $101 - $1,608 86%
Mmm Of Fl (Health Advantage Plan) $105 - $308 89%
United Ppo $109 - $318 93%
Sunshine State Health Plan $119 - $348 101%
Blis $160 - $469 136%
United $206 - $603 175%
District Cares $229 - $670 195%
Plotkin Health $229 - $670 195%
Prime Health Sherriff $229 - $670 195%
Medica Healthcare $270 - $791 230%
Multiplan $344 - $1,139 293%
Evernorth Bh $366 - $1,072 311%
Healthy Palm Beaches $550 468%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals