CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,695
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Florida Oak Hill Hospital is $7,695. 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 1.36x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,695

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: $7,695 (136%)
Ins. Median: $7,695 (136% 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
Hernando-Pasco Hospice $630 11%
Align Senior Care $1,275 - $8,228 22%
American Health Plan $1,275 - $8,076 22%
Florida Complete Care $1,275 - $8,228 22%
Molina $1,834 - $11,098 32%
Avmed $2,215 - $14,809 39%
Sunshine State Health Plan $2,381 - $11,906 42%
United $4,000 - $12,810 70%
Humana $5,089 - $13,087 90%
Careplus $7,390 130%
Wellmed $7,466 132%
Oscar $7,584 134%
Access 2 Healthcare Physicians Freedom Optimum Group Members $7,619 134%
Sunshine State $7,619 134%
Ultimate Health Plan $7,619 134%
United Va Ccn $7,619 134%
Wellcare $7,619 134%
Access 2 Healthcare Physicians Freedom Health $7,695 136%
Access 2 Healthcare Physicians Optimum $7,695 136%
Aetna $7,695 - $21,628 136%
Blue Cross Blue Shield $7,695 - $22,724 136%
Freedom Health Care $7,695 136%
Optimum Healthcare $7,695 136%
Devoted Health $7,771 137%
Simply Healthcare $8,000 - $25,970 141%
Cigna $8,228 - $12,690 145%
Secur $8,228 145%
Gold Kidney Of Florida $8,304 146%
Centurion $8,380 148%
Evolutions Healthcare Systems $8,926 157%
Ndms Definitive Care $9,523 168%
Truli $15,224 - $21,242 268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals