CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Brandon Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,603
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Brandon Hospital is $9,603. 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 1.69x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,603

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: $9,603 (169%)
Ins. Median: $9,603 (169% 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 - $9,886 18%
Align Senior Care $1,275 - $10,074 22%
American Health Plan $1,275 - $9,980 22%
Florida Complete Care $1,275 - $10,074 22%
Molina $1,834 - $11,098 32%
Avmed $1,845 - $14,809 33%
Sunshine State Health Plan $2,381 - $11,906 42%
Hillsborough County $3,178 56%
Humana $3,817 - $9,814 67%
United $4,000 - $11,420 70%
Oscar $7,584 134%
Evolutions Healthcare Systems $8,926 157%
Wellmed $9,226 163%
Access 2 Healthcare Physicians Freedom Optimum Group Members $9,415 166%
Lifepath Hospice $9,415 166%
Ultimate Health Plan $9,415 166%
United Behavioral Health $9,415 166%
United Va Ccn $9,415 166%
Access 2 Healthcare Physicians Freedom Health $9,509 168%
Access 2 Healthcare Physicians Optimum $9,509 168%
Aetna $9,509 - $30,791 168%
Blue Cross Blue Shield $9,509 - $24,085 168%
Freedom Health Care $9,509 168%
Optimum Healthcare $9,509 168%
Careplus $9,603 169%
Devoted Health $9,603 169%
Cigna $10,074 - $12,357 177%
Simply Healthcare $10,074 - $24,380 177%
Longevity Health Plan $10,168 179%
Secur $10,168 179%
Gold Kidney Of Florida $10,262 181%
Centurion $10,356 182%
Solis Health Plan $10,356 182%
Baycare Health Plans $10,639 187%
Sunshine State $11,062 195%
Wellcare $11,062 195%
Ndms Definitive Care $11,768 207%
Truli $18,004 317%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals