CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $111
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.94x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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%)

Insurance Median: $111 (94%)

Ins. Median: $111 (94% 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
Simply	$59	50%
United Hc	$62 - $169	53%
Blue Cross Blue Shield	$81 - $165	69%
Aetna	$82 - $173	70%
Devoted	$82 - $111	70%
Humana	$82 - $111	70%
Careplus	$86 - $116	73%
Baycare	$88 - $119	75%
Freedom Health	$91 - $122	77%
Optimum	$91 - $122	77%
Evolutions	$97 - $131	83%
Avmed	$115 - $155	98%
Health First	$124 - $166	105%
Multiplan	$132 - $177	112%
Cigna	$134	114%

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 $X.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.