CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Jfk Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,173
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Jfk Hospital is $8,173. 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 1.44x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,173

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: $8,173 (144%)
Ins. Median: $8,173 (144% 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
Mmm Of Fl (Health Advantage Plan) $995 - $8,093 18%
District Cares $1,050 18%
Healthy Palm Beaches $1,050 18%
Medica Healthcare $1,195 21%
Department Of Juvenile Justice $1,250 22%
Align $1,275 - $8,411 22%
American Health Plan $1,275 - $8,411 22%
Florida Complete Care $1,275 - $8,411 22%
Avmed $1,582 - $10,865 28%
Molina $1,834 - $11,098 32%
Sunshine State Health Plan $1,984 - $9,929 35%
Humana $2,139 - $7,935 38%
United $2,700 - $12,625 48%
Oscar $6,349 - $8,252 112%
Careworks (Rockport) $7,000 - $13,000 123%
Palm Beach Pace $7,538 133%
Wellmed $7,696 136%
Careplus Sfl $7,935 140%
United Behavioral Health $7,935 140%
Veterans Evaluation Services $7,935 140%
Blue Cross Blue Shield $8,014 - $29,211 141%
Cigna $8,093 - $11,172 143%
Devoted Health $8,093 143%
Aetna $8,133 - $32,972 143%
Amerihealth Caritas $8,173 - $27,563 144%
Sunshine State $8,173 - $8,728 144%
Health Sun Health Plan $8,252 145%
Longevity Health Plan $8,252 145%
Prominence Healthfirst $8,252 145%
Freedom Health $8,411 148%
Optimum $8,411 148%
Simply Healthcare Plans $8,569 151%
Aids Healthcare $8,649 152%
Doctors Healthcare Plan $8,649 152%
Centurion $8,728 154%
Gold Kidney $8,887 157%
Solis Health Plan $8,887 157%
Ndms Definitive Care $9,918 175%
Simply Healthcare $26,500 467%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals