CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: University Hospital and Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $362
Cash Discount Price: $1,846
vs. Medicare Baseline: 3.08x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at University Hospital and Medical Center is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,846. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 3.08x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$1,846

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $1,846 (1570%)

Insurance Median: $362 (308%)

Cash: $1,846 (1570% of Medicare)

Ins. Median: $362 (308% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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 308% of the Medicare baseline (a markup of 208%). 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 - $278	72%
Careworks (Rockport)	$86 - $283	73%
Prime Health	$86 - $283	73%
Blue Cross Blue Shield	$93 - $453	79%
Aetna	$119 - $591	101%
Freedom Health	$148 - $315	126%
Optimum	$148	126%
Simply Healthcare Plans	$224	191%
Simply Healthcare	$266	226%
Oscar	$315	268%
Molina	$327 - $532	278%
Amerihealth Caritas	$335	285%
Cigna	$362	308%
Humana	$362 - $586	308%
Health Sun Health Plan	$367 - $420	312%
Mmm Of Fl (Health Advantage Plan)	$396	337%
United Ppo	$408 - $467	347%
Sunshine State Health Plan	$455 - $520	387%
United	$775 - $886	659%
Plotkin Health	$861 - $985	732%
Prime Health Sherriff	$861 - $985	732%
Avmed	$985	838%
Medica Healthcare	$999	850%
Multiplan	$1,292 - $1,674	1099%
Evernorth Bh	$1,378 - $1,576	1172%

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 $1,846.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
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.