CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: HCA Florida Largo Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99213
  • Insurance Median: $69
  • Cash Discount Price: $352
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at HCA Florida Largo Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $352. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 0.72x the Medicare baseline. Located in 201 14Th St Sw, Largo, FL.
Cash / Self-Pay
$352

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $352 (370%)
Insurance Median: $69 (72%)
Cash: $352 (370% of Medicare)
Ins. Median: $69 (72% 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.

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
Freedom Health Care $10 - $56 11%
Optimum Healthcare $10 - $56 11%
Blue Cross Blue Shield $11 - $150 12%
Truli $11 - $62 12%
Access 2 Healthcare Physicians Freedom Optimum Group Members $16 - $34 17%
Simply Healthcare $20 - $110 21%
Aetna $21 - $215 22%
United $22 - $322 23%
Access 2 Healthcare Physicians Freedom Health $24 - $52 25%
Access 2 Healthcare Physicians Optimum $24 - $52 25%
Cigna $24 - $129 25%
Molina $25 - $193 26%
Sunshine State Health Plan $34 - $182 36%
Humana $37 - $200 39%
Corvel Corporation $55 - $136 58%
Rockport Healthcare Group $55 - $136 58%
Prime Health $56 - $139 59%
Beacon Health Options $66 - $358 69%
Plotkin Health $66 - $358 69%
Prime Health Sheriff $66 - $358 69%
Evolutions Healthcare Systems $73 - $658 77%
Emerging Therapy Solutions $88 - $479 92%
Multiplan $99 - $608 104%
Evernorth $106 - $572 111%
UnitedHealthcare $132 - $715 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 14Th St Sw, Largo, FL 33770
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals