CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: HCA Florida Northwest Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$111

about 1.2× the $95 Medicare rate · typically $68–$242

modeled estimate · not a bill or quote

What this hospital charges insurers

$103

About the fair price

about $8 under the fair price · 1.1× Medicare

Medicare pays $95 Fair price $111 This hospital $103 Cash price $564 Hospital's list price $564

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 $30 Priciest $103

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $111 (about 1.2× the $95 Medicare rate). HCA Florida Northwest Hospital charges insurers about $103, or about $564 in cash — about the fair price. Located in Margate, FL.

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	$183 - $473	192%
Blue Cross Blue Shieldmajor	$30 - $238	32%
Aetnamajor	$28 - $315	29%
Cignamajor	$85	89%
Humanamajor	$85 - $138	89%
AmeriHealth	$96 - $179	101%
AvMed	$282 - $526	296%
Medica	$236	248%
Molina	$77 - $284	81%
Oscar Health	$90 - $168	95%
Simply Healthcare	$53 - $142	56%
+ 7 smaller / regional plans	$35 - $526

Excludes 6 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 564), 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: 99213.

Insurance Before you use insurance

Call your insurance company to confirm HCA Florida Northwest Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
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 HCA Florida Northwest Hospital

Compare: Office visit, established patient (20-29 min) at other FL hospitals

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