CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Florida Palms West Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$188

about 1.4× the $136 Medicare rate · typically $91–$326

modeled estimate · not a bill or quote

What this hospital charges insurers

$187

About the fair price

about $1 under the fair price · 1.4× Medicare

Medicare pays $136 Fair price $188 This hospital $187 Cash price $450 Hospital's list price $450

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $39 Priciest $187

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $188 (about 1.4× the $136 Medicare rate). HCA Florida Palms West Hospital charges insurers about $187, or about $450 in cash — about the fair price. Located in Loxahatchee, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$202	149%
Blue Cross Blue Shieldmajor	$33 - $102	24%
Aetnamajor	$31 - $135	23%
Cignamajor	$94	69%
Humanamajor	$94 - $153	69%
Medica	$261	192%
Molina	$86 - $122	63%
Simply Healthcare	$58	43%
+ 10 smaller / regional plans	$39 - $550

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 450), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm HCA Florida Palms West Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at HCA Florida Palms West Hospital

Compare: Office visit, established patient (30-39 min) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.