CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Santa Rosa Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,043

about 1.4× the $5,676 Medicare rate · typically $6,375–$12,719

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,152

Below the fair price — a good deal

about $891 under the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $8,043 This hospital $7,152

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $6,023 Priciest $7,152

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,043 (about 1.4× the $5,676 Medicare rate). Santa Rosa Medical Center charges insurers about $7,152 — below the fair price — a good deal. Located in Milton, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,152 - $8,590	126%
Blue Cross Blue Shieldmajor	$5,350 - $9,060	94%
Aetnamajor	$7,152 - $18,890	126%
Cignamajor	$7,152	126%
Humanamajor	$7,009 - $7,152	123%
Ambetter (Centene)	$17,356	306%
Oscar Health	$15,364	271%
WellCare	$7,152	126%
+ 4 smaller / regional plans	$7,262 - $14,524

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Santa Rosa Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Santa Rosa Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other FL hospitals

Jay Hospital · Jay $6,023
Gulf Breeze Hospital · Gulf Breeze $6,102
Villages Regional Hospital, The · The Villages $6,121
Larkin Community Hospital · South Miami $6,174
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $6,197
HCA Florida South Shore Hospital · Sun City Center $6,320
UF Health Leesburg Hospital · Leesburg $6,386
HCA Florida Fawcett Hospital · Port Charlotte $6,527

Insurance negotiated median for the same procedure, sorted lowest first.