CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Blake Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,232
  • 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 Blake Hospital is $8,232. 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 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,232

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: $8,232 (145%)
Ins. Median: $8,232 (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
Clear Spring Health $1,050 - $8,552 18%
Healthcare Sarasota $1,050 18%
Align Senior Care $1,275 - $8,232 22%
American Health Plan $1,275 - $8,472 22%
Florida Complete Care $1,275 - $8,232 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 - $11,950 70%
Wellmed $7,833 138%
Careplus $7,912 - $9,191 139%
Access 2 Healthcare Physicians Freedom Optimum Group Members $7,992 141%
Behealthy America $7,992 141%
Ultimate Health Plan $7,992 141%
United Va Ccn $7,992 141%
Access 2 Healthcare Physicians Freedom Health $8,072 142%
Access 2 Healthcare Physicians Optimum $8,072 142%
Aetna $8,072 - $17,326 142%
Blue Cross Blue Shield $8,072 - $25,582 142%
Freedom Health Care $8,072 142%
Optimum Healthcare $8,072 142%
Devoted Health $8,152 144%
Oscar $8,228 145%
Cigna $8,232 - $12,707 145%
Simply Healthcare $8,392 - $29,415 148%
Secur $8,632 152%
Gold Kidney Of Florida $8,712 153%
Centurion $8,792 155%
Evolutions Healthcare Systems $8,926 157%
Sunshine State $9,471 167%
Wellcare $9,471 167%
Ndms Definitive Care $9,990 176%
Truli $18,939 - $23,913 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals