CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Oviedo Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $203
  • Cash Discount Price: $1,507
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Oviedo Medical Center is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,507. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.73x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$1,507

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $1,507 (1282%)
Insurance Median: $203 (173%)
Cash: $1,507 (1282% of Medicare)
Ins. Median: $203 (173% 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.

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 $45 - $603 38%
Freedom Health $47 - $145 40%
Optimum $47 - $145 40%
Truli For Health $56 - $171 48%
Blue Cross Blue Shield $57 - $426 48%
Prime Health $83 - $258 71%
Simply $101 - $310 86%
Cigna $114 - $350 97%
Molina Healthcare $124 - $382 105%
Humana $131 - $402 111%
Sunshine State Health Plan $167 - $513 142%
Florida Health Care Plan $247 - $758 210%
United $264 - $905 225%
Avmed $327 - $1,005 278%
American Health Plan $15,000 12758%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals