CMS Price Transparency Data

Review of medical records for care

Facility: HCA Florida Largo Hospital

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $66
Cash Discount Price: $312
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at HCA Florida Largo Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 201 14Th St Sw, Largo, FL.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$15	N/A
Blue Cross Blue Shield	$18 - $66	N/A
Access 2 Healthcare Physicians Freedom Health	$22	N/A
Access 2 Healthcare Physicians Optimum	$22	N/A
Aetna	$22 - $94	N/A
Freedom Health Care	$24	N/A
Optimum Healthcare	$24	N/A
Avmed	$25 - $78	N/A
Suncoast Neighborly Care	$25	N/A
Truli	$27	N/A
Simply Healthcare	$40 - $48	N/A
Oscar	$47	N/A
United	$51 - $140	N/A
Cigna	$56	N/A
Molina	$59 - $84	N/A
Evolutions Healthcare Systems	$72 - $287	N/A
Sunshine State Health Plan	$80	N/A
Humana	$87	N/A
Beacon Health Options	$156	N/A
Plotkin Health	$156	N/A
Prime Health Sheriff	$156	N/A
Emerging Therapy Solutions	$209	N/A
Corvel Corporation	$228	N/A
Rockport Healthcare Group	$228	N/A
Prime Health	$233	N/A
Multiplan	$234 - $265	N/A
Evernorth	$250	N/A
UnitedHealthcare	$312	N/A

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 $312.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Largo Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
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.