CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,548
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Twin Cities Hospital is $6,548. 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 $5,675.87, this hospital’s rate is 1.15x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,548

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $6,548 (115%)
Ins. Median: $6,548 (115% of 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.

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
Clear Spring Health $1,050 18%
American Health Plan $1,275 - $6,197 22%
Florida Complete Care $1,275 - $6,548 22%
Molina Healthcare $2,201 - $13,318 39%
Sunshine State Health Plan $2,348 - $11,736 41%
Avmed $2,825 - $16,299 50%
Humana $5,671 - $18,903 100%
United $5,700 - $21,500 100%
Wellmed $5,729 101%
Regency Hospice $5,846 103%
Blue Cross Blue Shield $5,905 - $35,887 104%
Ultimate Health Plan $5,963 105%
Aetna $5,992 - $50,982 106%
Simply $6,139 108%
Healthspring Of Florida $6,255 110%
Sunshine State $6,285 111%
Wellcare $6,285 111%
Gold Kidney Of Florida $6,372 112%
Centurion $6,431 113%
Longevity Health Plan $6,548 115%
Ndms Definitive Care $7,308 129%
Oscar $8,864 156%
Cigna $14,618 - $34,965 258%
Simply Healthcare $32,330 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals