Digestive disorders treatment (inpatient stay)
Facility: Hialeah Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $8,633
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $5,675.87 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $904 | 16% |
| Bristol Hospice- Miami Dade Llc | $988 | 17% |
| Catholic Hospice | $988 | 17% |
| Comprehensive Home Health Care Dba Opuscare Of South Florida | $988 | 17% |
| Hcr Manor Care Services Of Fl | $988 | 17% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $988 | 17% |
| Vitas Healthcare Hospice Corporation Of Fl | $988 | 17% |
| Hospice Other | $1,091 | 19% |
| Aetna | $2,169 - $8,633 | 38% |
| Dimension Health Wc | $2,283 | 40% |
| Workers Compensation | $2,283 | 40% |
| Humana | $3,599 - $8,460 | 63% |
| Bc/Bs Of Fl Miami Dade Blue Select | $4,463 | 79% |
| Bc/Bs Myblue Hmo Hix | $5,936 | 105% |
| Bc/Bs Of Fl Health Options Hmo | $5,936 | 105% |
| Bc/Bs Of Fl Simplyblue | $5,936 | 105% |
| Veterans Administration Mill Bill | $6,043 | 106% |
| UnitedHealthcare | $7,365 - $14,425 | 130% |
| Oscar Health Plan Hix | $7,404 | 130% |
| Cigna | $7,413 - $9,754 | 131% |
| Bc/Bs Of Fl Network Blue | $7,770 | 137% |
| Medicare (plans) | $8,201 - $18,866 | 144% |
| Molina Marketplace Program Exchange | $8,420 | 148% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $8,547 | 151% |
| Bc/Bs Of Fl Phs | $8,550 | 151% |
| Bc/Bs Of Fl Ppo | $8,550 | 151% |
| Leon Health Inc | $8,599 | 152% |
| Devoted Health | $8,633 | 152% |
| Veterans Administration Vaccn | $8,775 | 155% |
| Florida Pace Centers | $9,064 | 160% |
| Healthsun Health Plans | $9,064 | 160% |
| Longevity Health Plan | $9,170 | 162% |
| Avmed Broad Network | $9,335 | 164% |
| Bright Health Management Commercial | $10,530 | 186% |
| Self Pay/Uninsured | $10,791 | 190% |
| Employer Direct Healthcare | $10,968 | 193% |
| Imagine Health | $11,559 | 204% |
| Naphcare Inc | $12,086 | 213% |
| Avmed Exchange | $15,356 | 271% |
| Ambetter / Centene | $16,233 | 286% |
| Auto Insurance | $17,550 | 309% |
| Avmed Select Network | $17,956 | 316% |
| Amerihealth Caritas Next Exchange | $18,866 | 332% |
| Tricare | $20,566 | 362% |