CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: HCA Florida South Tampa Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $235
Cash Discount Price: $1,501
vs. Medicare Baseline: 2.47x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at HCA Florida South Tampa Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,501. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 2.47x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$1,501

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)

Cash / Self-Pay: $1,501 (1577%)

Insurance Median: $235 (247%)

Cash: $1,501 (1577% of Medicare)

Ins. Median: $235 (247% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 247% of the Medicare baseline (a markup of 147%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Corvel Corporation	$55 - $136	58%
Rockport Healthcare Group	$55 - $136	58%
Prime Health	$56 - $139	59%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$71	75%
Blue Cross Blue Shield	$102 - $315	107%
Aetna	$104 - $450	109%
Access 2 Healthcare Physicians Freedom Health	$108	113%
Access 2 Healthcare Physicians Optimum	$108	113%
Freedom Health Care	$117	123%
Optimum Healthcare	$117	123%
Truli	$131 - $185	138%
Simply Healthcare	$231	243%
United	$246 - $675	258%
Cigna	$270	284%
Molina	$285 - $405	299%
Sunshine State Health Plan	$383	402%
Humana	$420	441%
Beacon Health Options	$750	788%
Evolutions Healthcare Systems	$750 - $1,381	788%
Plotkin Health	$750	788%
Prime Health Sheriff	$750	788%
Multiplan	$1,126 - $1,276	1183%
Evernorth	$1,201	1262%

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 $1,501.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida South Tampa Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
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.