CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Putnam Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,346
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Putnam Hospital is $7,346. 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 1.29x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,346

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: $7,346 (129%)
Ins. Median: $7,346 (129% 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 - $7,276 22%
American Health Plan $1,275 - $7,346 22%
Florida Complete Care $1,275 - $7,276 22%
Molina Healthcare $2,201 - $13,318 39%
Sunshine State Health Plan $2,336 - $11,680 41%
Avmed $2,825 - $16,299 50%
Humana $4,954 - $7,415 87%
United $6,123 - $13,025 108%
Oscar $6,458 114%
Wellmed $6,791 120%
Blue Cross Blue Shield $6,999 - $28,881 123%
Fl Health Care Plan $7,068 125%
Ultimate Health Plan $7,068 125%
Aetna $7,103 - $40,808 125%
Longevity Health Plan $7,276 128%
Simply $7,276 128%
Cigna $7,346 - $34,180 129%
Gold Kidney Of Florida $7,553 133%
Centurion $7,623 134%
Putnam County Sheriffs $7,623 134%
Sunshine State $7,657 135%
Wellcare $7,657 135%
Ndms Definitive Care $8,662 153%
Evolutions $12,635 223%
Simply Healthcare $25,970 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals