CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $132
Cash Discount Price: $933
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at HCA Florida Bayonet Point Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $933. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.12x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

$933

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $933 (794%)

Insurance Median: $132 (112%)

Cash: $933 (794% of Medicare)

Ins. Median: $132 (112% 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.

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	$16 - $52	14%
Blue Cross Blue Shield	$19 - $232	16%
Aetna	$23 - $329	20%
Access 2 Healthcare Physicians Freedom Health	$24 - $79	20%
Access 2 Healthcare Physicians Optimum	$24 - $79	20%
Freedom Health Care	$26 - $86	22%
Optimum Healthcare	$26 - $86	22%
Truli	$37 - $150	31%
Simply Healthcare	$51 - $169	43%
United	$54 - $494	46%
Cigna	$59 - $198	50%
Molina	$63 - $296	54%
Corvel Corporation	$82 - $256	70%
Rockport Healthcare Group	$82 - $256	70%
Prime Health	$83 - $262	71%
Sunshine State Health Plan	$84 - $280	71%
Humana	$92 - $307	78%
Plotkin Health	$165 - $549	140%
Prime Health Sheriff	$165 - $549	140%
Evolutions Healthcare Systems	$198 - $1,010	168%
Multiplan	$248 - $933	211%

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 $933.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Bayonet Point Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
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.