CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,000
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Pasadena Hospital A Part of HCA Florid is $6,000. 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 1.06x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,000

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: $6,000 (106%)
Ins. Median: $6,000 (106% 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 - $6,028 18%
Align Senior Care $1,275 - $6,084 22%
American Health Plan $1,275 - $5,971 22%
Florida Complete Care $1,275 - $6,084 22%
Molina $1,834 - $11,098 32%
Avmed $1,845 - $14,809 33%
Sunshine State Health Plan $2,381 - $11,906 42%
Humana $3,817 - $9,814 67%
United $4,000 - $8,800 70%
Careplus $5,464 96%
Wellmed $5,521 97%
Access 2 Healthcare Physicians Freedom Optimum Group Members $5,633 99%
Ultimate Health Plan $5,633 99%
United Va Ccn $5,633 99%
Access 2 Healthcare Physicians Freedom Health $5,690 100%
Access 2 Healthcare Physicians Optimum $5,690 100%
Aetna $5,690 - $21,628 100%
Blue Cross Blue Shield $5,690 - $20,994 100%
Freedom Health Care $5,690 100%
Optimum Healthcare $5,690 100%
Devoted Health $5,746 101%
Simply Healthcare $5,915 - $24,380 104%
Suncoast Neighborly Care $5,915 104%
Cigna $6,084 - $12,357 107%
Longevity Health Plan $6,084 107%
Gold Kidney Of Florida $6,140 108%
Centurion $6,197 109%
Solis Health Plan $6,197 109%
Baycare Health Plans $6,366 112%
Sunshine State $6,394 113%
Wellcare $6,394 113%
Ndms Definitive Care $7,042 124%
Oscar $7,584 134%
Evolutions Healthcare Systems $8,926 157%
Truli $15,743 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 Pasadena Ave S, Saint Petersburg, FL 33707
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals