CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $181
Cash Discount Price: $999
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at HCA Florida Oak Hill Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $999. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.54x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$999

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $999 (850%)

Insurance Median: $181 (154%)

Cash: $999 (850% of Medicare)

Ins. Median: $181 (154% 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
Blue Cross Blue Shield	$14 - $586	12%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$20 - $47	17%
Aetna	$29 - $874	25%
Access 2 Healthcare Physicians Freedom Health	$30 - $72	26%
Access 2 Healthcare Physicians Optimum	$30 - $72	26%
Freedom Health Care	$33 - $78	28%
Optimum Healthcare	$33 - $78	28%
Truli	$34 - $355	29%
Simply Healthcare	$65 - $370	55%
United	$69 - $1,311	59%
Cigna	$73 - $174	62%
Molina	$80 - $270	68%
Corvel Corporation	$82 - $256	70%
Rockport Healthcare Group	$82 - $256	70%
Prime Health	$83 - $262	71%
Sunshine State Health Plan	$107 - $743	91%
Humana	$117 - $280	100%
Plotkin Health	$210 - $1,457	179%
Prime Health Sheriff	$210 - $1,457	179%
Evolutions Healthcare Systems	$251 - $2,680	213%
Multiplan	$314 - $2,476	267%
Oscar	$437	372%

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 $999.
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 Oak Hill 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.