CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida South Tampa Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $307
Cash Discount Price: $1,965
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at HCA Florida South Tampa Hospital is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,965. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 2.26x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$1,965

Average discount available for prompt cash payment at this facility.

Insurance Median

$307

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: $1,965 (1449%)

Insurance Median: $307 (226%)

Cash: $1,965 (1449% of Medicare)

Ins. Median: $307 (226% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 226% of the Medicare baseline (a markup of 126%). 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	$85 - $180	63%
Rockport Healthcare Group	$85 - $180	63%
Prime Health	$86 - $184	63%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$92	68%
Blue Cross Blue Shield	$134 - $413	99%
Aetna	$136 - $589	100%
Access 2 Healthcare Physicians Freedom Health	$141	104%
Access 2 Healthcare Physicians Optimum	$141	104%
Freedom Health Care	$153	113%
Optimum Healthcare	$153	113%
Truli	$171 - $242	126%
Simply Healthcare	$303	223%
United	$322 - $884	237%
Cigna	$354	261%
Molina	$373 - $530	275%
Sunshine State Health Plan	$501	369%
Humana	$550	406%
Beacon Health Options	$982	724%
Evolutions Healthcare Systems	$982 - $1,808	724%
Plotkin Health	$982	724%
Prime Health Sheriff	$982	724%
Multiplan	$1,474 - $1,670	1087%
Evernorth	$1,572	1159%

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 $1,965.
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 South Tampa 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.