CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: University Hospital and Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $435
Cash Discount Price: $2,220
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at University Hospital and Medical Center is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,220. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 3.21x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$2,220

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $2,220 (1637%)

Insurance Median: $435 (321%)

Cash: $2,220 (1637% of Medicare)

Ins. Median: $435 (321% 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 321% of the Medicare baseline (a markup of 221%). 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	$87 - $195	64%
Careworks (Rockport)	$89 - $199	66%
Prime Health	$89 - $199	66%
Blue Cross Blue Shield	$112 - $544	83%
Aetna	$143 - $710	105%
Freedom Health	$178 - $379	131%
Optimum	$178	131%
Simply Healthcare Plans	$269	198%
Simply Healthcare	$320	236%
Oscar	$379	279%
Molina	$394 - $639	291%
Amerihealth Caritas	$402	296%
Cigna	$435	321%
Humana	$435 - $705	321%
Health Sun Health Plan	$442 - $504	326%
Mmm Of Fl (Health Advantage Plan)	$477	352%
United Ppo	$491 - $561	362%
Sunshine State Health Plan	$547 - $625	403%
United	$933 - $1,065	688%
Plotkin Health	$1,036 - $1,183	764%
Prime Health Sherriff	$1,036 - $1,183	764%
Avmed	$1,183	872%
Medica Healthcare	$1,202	886%
Multiplan	$1,555 - $2,012	1147%
Evernorth Bh	$1,658 - $1,893	1223%

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 $2,220.
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 University Hospital and Medical Center 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.