CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Osceola Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $11,074
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Osceola Hospital is $11,074. 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 1.95x 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
$11,074

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: $11,074 (195%)
Ins. Median: $11,074 (195% 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 - $10,656 18%
Align Senior Care $1,275 - $11,492 22%
American Health Plan $1,275 - $11,074 22%
Florida Complete Care $1,275 - $11,492 22%
Avmed $1,477 - $16,299 26%
Molina Healthcare $1,834 - $11,098 32%
Sunshine State Health Plan $2,348 - $11,736 41%
Humana $3,887 - $11,910 68%
United $4,328 - $10,555 76%
Wellmed $10,238 180%
United Behavioral Health $10,447 184%
Blue Cross Blue Shield $10,552 - $37,616 186%
Oscar $10,581 186%
Devoted Health $10,656 188%
Fl Health Care Plan $10,656 188%
Ultimate Health Plan $10,656 188%
Aetna $10,708 - $39,504 189%
Freedom Health $10,865 191%
Optimum $10,865 191%
Careplus $11,074 - $12,014 195%
Cigna $11,178 - $14,264 197%
Simply $11,178 197%
Solis Health Plan $11,178 197%
Sunshine State $11,231 198%
Wellcare $11,231 198%
Longevity Health Plan $11,283 199%
Gold Kidney Of Florida $11,387 201%
Centurion $11,492 202%
Evolutions $12,635 223%
Ndms Definitive Care $13,059 230%
Truli For Health $21,717 383%
Simply Healthcare $32,330 570%

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