CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Broward Health Coral Springs

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $264
  • Cash Discount Price: $422
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Broward Health Coral Springs is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.95x the Medicare baseline. Located in 3000 Coral Hills Dr, Coral Springs, FL.
Cash / Self-Pay
$422

Average discount available for prompt cash payment at this facility.

Insurance Median
$264

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: $422 (311%)
Insurance Median: $264 (195%)
Cash: $422 (311% of Medicare)
Ins. Median: $264 (195% 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.

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
Aetna $28 - $349 21%
Community Care Plan $66 - $71 49%
Freedom Health $102 - $109 75%
Healthsun Health Plan $102 - $109 75%
Simply Healthcare $102 - $109 75%
Humana $134 99%
Medica Healthcare $134 99%
Preferred Care Partners $134 99%
United Aarp $134 99%
United/Wellmed $134 99%
Careplus Health Plan $135 100%
Florida Pace Center $135 100%
Devoted $138 - $197 102%
Clear Springs Healthcare $139 103%
Doctor'S Healthcare $139 103%
Amerihealth Caritas $142 105%
Wellpath $142 - $153 105%
Neighborhood Health Partnership $156 - $502 115%
United $156 - $502 115%
Cigna $184 - $197 136%
Avmed $187 - $218 138%
Wellcare $203 - $218 150%
Sunshine State Health Plan Healthy Kids $224 - $240 165%
Curative Administrators, Llc $244 - $262 180%
Wellcare Healthy Kids $244 - $262 180%
Tour + Med Assistance International $264 - $284 195%
Gmmi/Canadian Medical Network $285 - $306 210%
Quality Health Management $285 - $306 210%
Trident Global Assistance International $285 - $306 210%
United International $285 - $306 210%
Us Maritime Consultants $285 - $306 210%
Dimension Health/International Plus $325 - $349 240%
Medcare International $325 - $349 240%
Seguro Reservas International $325 - $349 240%
Star Healthcare Network $325 - $349 240%
Viking Cruises $325 - $349 240%
World Medical Management Solutions $325 - $349 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 Coral Hills Dr, Coral Springs, FL 33065
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals