Digestive disorders treatment (inpatient stay)
Facility: Palmetto General Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $8,428
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.48x 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 |
|---|---|---|
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $690 | 12% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $904 | 16% |
| Bristol Hospice- Miami Dade Llc | $1,091 | 19% |
| Catholic Hospice | $1,091 | 19% |
| Hospice Other | $1,091 | 19% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $1,091 | 19% |
| Vitas Healthcare Hospice | $1,091 | 19% |
| Aetna | $2,169 - $8,428 | 38% |
| Dimension Health Wc | $2,283 | 40% |
| Workers Compensation | $2,283 | 40% |
| Bc/Bs Of Fl Miami Dade Blue Select | $4,725 | 83% |
| Humana | $5,349 - $8,270 | 94% |
| Veterans Administration Mill Bill | $6,057 | 107% |
| Bc/Bs Myblue Hmo Hix | $6,459 | 114% |
| Bc/Bs Of Fl Health Options Hmo | $6,459 | 114% |
| Bc/Bs Of Fl Simplyblue | $6,459 | 114% |
| Bc/Bs Of Fl Network Blue | $7,385 | 130% |
| Cigna | $7,413 - $9,754 | 131% |
| Medicare (plans) | $7,749 - $17,805 | 137% |
| Oscar Health Plan Hix | $8,065 | 142% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $8,124 | 143% |
| UnitedHealthcare | $8,316 - $16,995 | 147% |
| Leon Health Inc | $8,405 | 148% |
| Molina Marketplace Program Exchange | $8,420 | 148% |
| Devoted Health | $8,428 | 148% |
| Ima Evalutations Inc | $8,566 | 151% |
| Opuscare Of South Fl | $8,566 | 151% |
| Veterans Administration Vaccn | $8,566 | 151% |
| Westchester General Hospital | $8,566 | 151% |
| Florida Pace Centers | $8,823 | 155% |
| Healthsun Health Plans | $8,823 | 155% |
| Longevity Health Plan | $8,968 | 158% |
| Bright Health Management Commercial | $10,173 | 179% |
| Avmed Broad Network | $10,213 | 180% |
| Bc/Bs Of Fl Phs | $10,224 | 180% |
| Bc/Bs Of Fl Ppo | $10,224 | 180% |
| Self Pay/Uninsured | $10,535 | 186% |
| Employer Direct Healthcare | $10,575 | 186% |
| Imagine Health | $11,137 | 196% |
| Naphcare Inc | $11,590 | 204% |
| Avmed Exchange | $14,592 | 257% |
| Ambetter / Centene | $15,395 | 271% |
| Auto Insurance | $16,068 | 283% |
| Avmed Select Network | $16,965 | 299% |
| Amerihealth Caritas Next Exchange | $17,805 | 314% |
| Tricare | $20,566 | 362% |