CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida Blake Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $120
  • Cash Discount Price: $850
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at HCA Florida Blake Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $850. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.88x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$850

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $850 (627%)
Insurance Median: $120 (88%)
Cash: $850 (627% of Medicare)
Ins. Median: $120 (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 $17 - $479 13%
Access 2 Healthcare Physicians Freedom Health $18 - $115 13%
Access 2 Healthcare Physicians Optimum $18 - $115 13%
Blue Cross Blue Shield $18 - $337 13%
Truli $18 - $219 13%
Freedom Health Care $19 - $124 14%
Optimum Healthcare $19 - $124 14%
United $27 - $718 20%
Simply Healthcare $28 - $271 21%
Cigna $29 - $278 21%
Molina $32 - $431 24%
Sunshine State Health Plan $43 - $407 32%
Humana $47 - $447 35%
Behealthy America $65 - $622 48%
Access 2 Healthcare Physicians Freedom Optimum Group Members $68 - $75 50%
Healthcare Sarasota $84 - $798 62%
Plotkin Health $84 - $798 62%
Prime Health Sheriff $84 - $798 62%
Corvel Corporation $85 - $180 63%
Rockport Healthcare Group $85 - $180 63%
Prime Health $86 - $184 63%
Evolutions Healthcare Systems $100 - $1,468 74%
Multiplan $126 - $1,356 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals