Digestive disorders treatment (inpatient stay)
Facility: Coral Gables Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $7,348
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.29x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Seasons Hospice And Palliative Care Of Southern Florida Inc | $904 | 16% |
| Opus Care Of South Florida | $1,060 | 19% |
| Catholic Hospice | $1,091 | 19% |
| Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services | $1,091 | 19% |
| Hospice Other | $1,091 | 19% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $1,091 | 19% |
| Vitas Healthcare Corporation/Hospice Ppo | $1,091 | 19% |
| Aetna | $2,169 - $7,348 | 38% |
| Dimension Health Wc | $2,283 | 40% |
| Workers Compensation | $2,283 | 40% |
| Humana | $3,350 - $7,202 | 59% |
| Bc/Bs Of Fl Miami Dade Blue Select | $4,161 | 73% |
| Veterans Administration Mill Bill | $5,144 | 91% |
| Bc/Bs Myblue Hmo Hix | $6,039 | 106% |
| Bc/Bs Of Fl Health Options Hmo | $6,039 | 106% |
| Bc/Bs Of Fl Simplyblue | $6,039 | 106% |
| Bc/Bs Of Fl Network Blue | $6,638 | 117% |
| UnitedHealthcare | $6,758 - $13,683 | 119% |
| Medicare (plans) | $6,981 - $16,048 | 123% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $7,301 | 129% |
| Leon Health Inc | $7,315 | 129% |
| Devoted Health | $7,348 | 129% |
| Oscar Health Plan Hix | $7,356 | 130% |
| Cigna | $7,413 - $9,754 | 131% |
| Veterans Administration Vaccn | $7,464 | 132% |
| Florida Pace Centers | $7,716 | 136% |
| Healthsun Health Plans | $7,716 | 136% |
| Longevity Health Plan | $7,800 | 137% |
| Molina Marketplace Program Exchange | $8,420 | 148% |
| Bright Health Management Commercial | $8,957 | 158% |
| Self Pay/Uninsured | $9,186 | 162% |
| Employer Direct Healthcare | $9,330 | 164% |
| Avmed Broad Network | $9,968 | 176% |
| Bc/Bs Of Fl Phs | $10,229 | 180% |
| Bc/Bs Of Fl Ppo | $10,229 | 180% |
| Imagine Health | $10,229 | 180% |
| Naphcare Inc | $10,288 | 181% |
| Avmed Exchange | $13,062 | 230% |
| Ambetter / Centene | $13,809 | 243% |
| Auto Insurance | $14,929 | 263% |
| Avmed Select Network | $15,285 | 269% |
| Amerihealth Caritas Next Exchange | $16,048 | 283% |
| Tricare | $20,566 | 362% |