CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Larkin Community Hospital Behavioral Health Srvs

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $480
Cash Discount Price: $336
vs. Medicare Baseline: 4.08x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Larkin Community Hospital Behavioral Health Srvs is $480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 4.08x the Medicare baseline. Located in 1201 N 37Th Ave, Hollywood, FL.

Cash / Self-Pay

$336

Average discount available for prompt cash payment at this facility.

Insurance Median

$480

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: $336 (286%)

Insurance Median: $480 (408%)

Cash: $336 (286% of Medicare)

Ins. Median: $480 (408% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 408% of the Medicare baseline (a markup of 308%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$50	43%
Concordia Behav Health - All Plans	$60	51%
Wellcare Of Fl-All Plans	$65	55%
Bright Hlth Mcr Adv	$76	65%
Bright Hlth Comm - All Other Plans	$80	68%
Community Care Plan-All Plans	$131 - $763	111%
Medicaid / KanCare	$131 - $763	111%
Miami Childrens Hp-All Plans	$131 - $763	111%
Sunshine Behav Mcaid	$131 - $763	111%
Magellan Healthcare-All Plans	$458	390%
Cigna	$534	454%
Longevity Mcr Adv-All Plans	$715	608%
Sunshine Behav Comm - All Other Plans	$715	608%
Clear Spring Health-All Plans	$751	639%
Aetna	$763	649%
Hma Mcr Adv	$823	700%

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 $336.
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 Larkin Community Hospital Behavioral Health Srvs 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.