CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida North Florida Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida North Florida Hospital is $8,107. 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 1.43x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,107

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: $8,107 (143%)
Ins. Median: $8,107 (143% 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 18%
Align Senior Care $1,275 - $9,025 22%
American Health Plan $1,275 - $8,107 22%
Florida Complete Care $1,275 - $9,025 22%
Avmed $1,427 - $17,277 25%
Molina Healthcare $2,201 - $13,318 39%
Sunshine State Health Plan $2,336 - $11,680 41%
Humana $4,954 - $8,183 87%
United $6,086 - $16,302 107%
Oscar $6,458 114%
Hospice Of North Central Fl $6,883 121%
Wellmed $7,495 132%
United Behavioral Health $7,648 135%
Va Purchased Care Program $7,648 135%
Blue Cross Blue Shield $7,724 - $24,061 136%
Capital Health Plan $7,724 - $13,956 136%
Ultimate Health Plan $7,801 137%
Aetna $7,839 - $40,808 138%
Simply $8,030 141%
Cigna $8,107 - $34,839 143%
Sunshine State $8,222 145%
Wellcare $8,222 145%
Gold Kidney Of Florida $8,336 147%
Centurion $8,413 148%
Longevity Health Plan $8,566 151%
Ndms Definitive Care $9,560 168%
Evolutions $12,635 223%
Corizon Phs $15,296 269%
Simply Healthcare $25,970 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals