CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Memorial Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,236
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Memorial Hospital is $8,236. 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 1.45x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,236

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: $8,236 (145%)
Ins. Median: $8,236 (145% 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
Hospice Haven $587 10%
American Health Plan $1,275 - $8,559 22%
Florida Complete Care $1,275 - $8,720 22%
Avmed $1,373 - $16,299 24%
Molina Healthcare $1,834 - $11,098 32%
Sunshine State Health Plan $2,348 - $11,736 41%
Humana $4,406 - $9,908 78%
United $5,749 - $14,997 101%
Hospice Community $7,267 128%
Oscar $7,628 134%
United Behavioral Health $8,074 142%
Veterans Evaluation Services $8,074 142%
Vitas Hospice $8,074 142%
Wellcare $8,115 143%
Wellmed $8,115 143%
Aetna $8,155 - $24,420 144%
Blue Cross Blue Shield $8,155 - $25,756 144%
Careplus $8,155 - $9,285 144%
Cigna $8,155 - $16,560 144%
Sunshine State $8,155 144%
Devoted Health $8,236 145%
Gold Kidney $8,317 147%
Optimum Healthcare $8,397 148%
Simply Healthcare $8,478 - $25,705 149%
Positive Healthcare $8,801 155%
Longevity $8,882 156%
Ndms Definitive Care $10,093 178%
Corizon $10,497 185%
Centurion $11,385 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals