CMS Price Transparency Data

Diagnostic procedure preparation

Facility: HCA Florida Osceola Hospital

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0279
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Diagnostic procedure preparation at HCA Florida Osceola Hospital is $13. 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 $40.41, this hospital’s rate is 0.32x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Insurance Median: $13 (32%)
Ins. Median: $13 (32% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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
United Behavioral Health $12 30%
Fl Health Care Plan $12 30%
United $12 - $57 30%
Ndms Definitive Care $12 30%
Blue Cross Blue Shield $12 30%
Aetna $12 30%
Wellmed $12 30%
Devoted Health $12 30%
Humana $12 - $14 30%
Sunshine State $13 32%
American Health Plan $13 32%
Align Senior Care $13 32%
Gold Kidney of Florida $13 32%
Florida Complete Care $13 32%
Centurion $13 32%
Wellcare $13 32%
Cigna $13 32%
Avmed $13 32%
Clear Spring Health $13 32%
Ultimate Health Plan $14 35%
Careplus $14 35%
Longevity Health Plan $15 37%
Solis Health Plan $18 45%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals