CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: University Hospital and Medical Center

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $364
Cash Discount Price: $1,833
vs. Medicare Baseline: 3.82x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at University Hospital and Medical Center is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,833. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 3.82x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$1,833

Average discount available for prompt cash payment at this facility.

Insurance Median

$364

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: $1,833 (1926%)

Insurance Median: $364 (382%)

Cash: $1,833 (1926% of Medicare)

Ins. Median: $364 (382% 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 382% of the Medicare baseline (a markup of 282%). 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	$57 - $148	60%
Careworks (Rockport)	$58 - $151	61%
Prime Health	$58 - $151	61%
Blue Cross Blue Shield	$93 - $482	98%
Aetna	$119 - $628	125%
Freedom Health	$148 - $335	155%
Optimum	$148 - $158	155%
Simply Healthcare Plans	$224 - $238	235%
Simply Healthcare	$283	297%
Molina	$327 - $565	344%
Oscar	$335	352%
Amerihealth Caritas	$356	374%
Cigna	$362 - $385	380%
Humana	$362 - $623	380%
Health Sun Health Plan	$367 - $446	386%
Mmm Of Fl (Health Advantage Plan)	$396 - $422	416%
United Ppo	$408 - $496	429%
Sunshine State Health Plan	$455 - $553	478%
United	$775 - $942	814%
Plotkin Health	$861 - $1,047	905%
Prime Health Sherriff	$861 - $1,047	905%
Medica Healthcare	$999 - $1,063	1049%
Avmed	$1,047	1100%
Multiplan	$1,292 - $1,780	1357%
Evernorth Bh	$1,378 - $1,675	1448%

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 $1,833.
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 University Hospital and Medical Center 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.