CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UF Health Shands Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $10,472
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at UF Health Shands Hospital is $10,472. 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 1.85x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,472

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: $10,472 (185%)
Ins. Median: $10,472 (185% 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
Capital Health Plan $3,337 - $9,520 59%
Health First $4,249 - $4,444 75%
UnitedHealthcare $8,937 - $9,901 157%
Vha $8,937 157%
Humana $9,520 - $9,615 168%
Wellcare $9,520 168%
Careplus $9,805 173%
Positive Healthcare Partners $9,831 173%
Blue Cross Blue Shield $9,913 - $12,622 175%
Carelon Health $10,101 178%
Avmed $10,464 - $11,485 184%
Ahf Mco Of Fl $10,472 185%
Devoted Health Plan $10,472 185%
Freedom Health- Inc./Optimum Healthcare- Inc. $10,472 185%
Ghilcrest County $11,171 197%
Levy County $11,171 197%
Florida Health Care Plan $12,396 218%
Wellpath $14,299 252%
Ambetter / Centene $14,835 261%
Cigna $17,413 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals