CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida Jfk Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $119
  • Cash Discount Price: $488
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at HCA Florida Jfk Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.88x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$488

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $488 (360%)
Insurance Median: $119 (88%)
Cash: $488 (360% of Medicare)
Ins. Median: $119 (88% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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 $31 - $309 23%
Blue Cross Blue Shield $33 - $237 24%
Freedom Health $38 - $165 28%
Optimum $38 - $89 28%
Simply Healthcare Plans $58 - $134 43%
Molina $76 - $278 56%
Corvel Corporation $87 - $186 64%
Careworks (Rockport) $89 - $190 66%
Prime Health $89 - $190 66%
Cigna $94 - $216 69%
Humana $94 - $350 69%
Health Sun Health Plan $95 - $219 70%
Aids Healthcare $98 - $1,236 72%
Mmm Of Fl (Health Advantage Plan) $103 - $237 76%
United Ppo $106 - $244 78%
Sunshine State Health Plan $116 - $268 86%
Blis $156 - $360 115%
United $201 - $464 148%
District Cares $223 - $515 164%
Plotkin Health $223 - $515 164%
Prime Health Sherriff $223 - $515 164%
Medica Healthcare $263 - $608 194%
Multiplan $334 - $876 246%
Evernorth Bh $357 - $824 263%
Healthy Palm Beaches $550 406%

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