CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,371
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida St Petersburg Hospital is $9,371. 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 1.65x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,371

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: $9,371 (165%)
Ins. Median: $9,371 (165% 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 - $9,371 18%
Pinellas Co Sheriff Dept $1,250 22%
Align Senior Care $1,275 - $9,463 22%
American Health Plan $1,275 - $9,739 22%
Florida Complete Care $1,275 - $9,463 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 - $9,188 70%
Oscar $7,584 134%
Careplus $8,912 157%
Evolutions Healthcare Systems $8,926 157%
Wellmed $9,004 159%
Access 2 Healthcare Physicians Freedom Optimum Group Members $9,188 162%
Sunshine State $9,188 162%
Ultimate Health Plan $9,188 162%
United Va Ccn $9,188 162%
Aetna $9,279 - $21,628 163%
Blue Cross Blue Shield $9,279 - $20,994 163%
Access 2 Healthcare Physicians Freedom Health $9,371 165%
Access 2 Healthcare Physicians Optimum $9,371 165%
Devoted Health $9,371 165%
Freedom Health Care $9,371 165%
Optimum Healthcare $9,371 165%
Baycare Health Plans $9,463 167%
Cigna $9,463 - $12,357 167%
Simply Healthcare $9,647 - $24,380 170%
Suncoast Neighborly Care $9,647 170%
Longevity Health Plan $9,923 175%
Secur $9,923 175%
Gold Kidney Of Florida $10,014 176%
Centurion $10,106 178%
Solis Health Plan $10,106 178%
Wellcare $10,336 182%
Ndms Definitive Care $11,484 202%
Truli $15,743 - $19,625 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 38Th Ave N, Saint Petersburg, FL 33710
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals