CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,552
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Gulf Coast Hospital is $7,552. 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 1.33x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,552

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: $7,552 (133%)
Ins. Median: $7,552 (133% 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 - $7,376 22%
American Health Plan $1,275 - $7,446 22%
Florida Complete Care $1,275 - $7,376 22%
Molina Healthcare $2,201 - $13,318 39%
Sunshine State Health Plan $2,336 - $11,680 41%
Avmed $2,825 - $16,299 50%
Humana $6,814 - $18,903 120%
United $6,849 - $21,500 121%
Triwest Healthcare Alliance $6,884 121%
Wellmed $6,884 121%
Veterans Evaluation Services $7,025 124%
Blue Cross Blue Shield $7,095 - $29,421 125%
Ultimate Health Plan $7,165 126%
Aetna $7,200 - $35,718 127%
Longevity Health Plan $7,376 130%
Simply $7,376 130%
Healthspring Of Florida $7,516 132%
Sunshine State $7,552 133%
Wellcare $7,552 133%
Gold Kidney Of Florida $7,657 135%
Centurion $7,727 136%
Evolutions $8,090 143%
Ndms Definitive Care $8,781 155%
Oscar $8,864 156%
Cigna $14,618 - $34,965 258%
Simply Healthcare $32,330 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals