CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: HCA Florida Brandon Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $120
  • Cash Discount Price: $528
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at HCA Florida Brandon Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $528. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.02x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$528

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
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $528 (449%)
Insurance Median: $120 (102%)
Cash: $528 (449% of Medicare)
Ins. Median: $120 (102% 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.

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
Access 2 Healthcare Physicians Freedom Optimum Group Members $20 - $65 17%
Blue Cross Blue Shield $22 - $291 19%
Aetna $29 - $415 25%
Access 2 Healthcare Physicians Freedom Health $31 - $100 26%
Access 2 Healthcare Physicians Optimum $31 - $100 26%
Freedom Health Care $34 - $108 29%
Optimum Healthcare $34 - $108 29%
Truli $37 - $120 31%
Simply Healthcare $53 - $213 45%
Oscar $63 54%
United $69 - $623 59%
Cigna $79 - $249 67%
Corvel Corporation $82 - $256 70%
Rockport Healthcare Group $82 - $256 70%
Molina $83 - $374 71%
Prime Health $83 - $262 71%
Sunshine State Health Plan $107 - $353 91%
Humana $122 - $388 104%
Plotkin Health $211 - $692 179%
Prime Health Sheriff $211 - $692 179%
Beacon Health Options $218 - $692 185%
Evolutions Healthcare Systems $253 - $1,274 215%
Multiplan $316 - $1,177 269%
Evernorth $337 - $1,108 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals