CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $109
Cash Discount Price: $490
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at HCA Florida Bayonet Point Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.80x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

$490

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $490 (361%)

Insurance Median: $109 (80%)

Cash: $490 (361% of Medicare)

Ins. Median: $109 (80% 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.

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	$20 - $54	15%
Blue Cross Blue Shield	$24 - $243	18%
Aetna	$29 - $346	21%
Access 2 Healthcare Physicians Freedom Health	$30 - $83	22%
Access 2 Healthcare Physicians Optimum	$30 - $83	22%
Freedom Health Care	$33 - $90	24%
Optimum Healthcare	$33 - $90	24%
Truli	$47 - $158	35%
Simply Healthcare	$64 - $177	47%
United	$69 - $519	51%
Cigna	$75 - $207	55%
Molina	$80 - $311	59%
Corvel Corporation	$85 - $180	63%
Rockport Healthcare Group	$85 - $180	63%
Prime Health	$86 - $184	63%
Sunshine State Health Plan	$107 - $294	79%
Humana	$117 - $323	86%
Plotkin Health	$209 - $576	154%
Prime Health Sheriff	$209 - $576	154%
Evolutions Healthcare Systems	$251 - $1,060	185%
Multiplan	$314 - $980	232%

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 $490.
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 HCA Florida Bayonet Point Hospital 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.