CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida Trinity Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $239
Cash Discount Price: $1,676
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at HCA Florida Trinity Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,676. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.76x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$1,676

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $1,676 (1236%)

Insurance Median: $239 (176%)

Cash: $1,676 (1236% of Medicare)

Ins. Median: $239 (176% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$79	58%
Blue Cross Blue Shield	$84 - $337	62%
Corvel Corporation	$85 - $180	63%
Rockport Healthcare Group	$85 - $180	63%
Prime Health	$86 - $184	63%
Aetna	$116 - $503	86%
Truli	$118 - $204	87%
Access 2 Healthcare Physicians Freedom Health	$121	89%
Access 2 Healthcare Physicians Optimum	$121	89%
Freedom Health Care	$131	97%
Optimum Healthcare	$131	97%
Simply Healthcare	$258	190%
United	$275 - $754	203%
Cigna	$302	223%
Molina	$318 - $452	235%
Sunshine State Health Plan	$427	315%
Humana	$469	346%
Beacon Health Options	$838	618%
Plotkin Health	$838	618%
Prime Health Sheriff	$838	618%
Evolutions Healthcare Systems	$1,005 - $1,542	741%
Multiplan	$1,257 - $1,424	927%
Evernorth	$1,340	988%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,676.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Trinity Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99214.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.