CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Oviedo Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,545
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Oviedo Medical Center is $8,545. 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 1.51x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,545

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: $8,545 (151%)
Ins. Median: $8,545 (151% 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.

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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 - $8,385 18%
Align Senior Care $1,275 - $8,784 22%
American Health Plan $1,275 - $8,465 22%
Florida Complete Care $1,275 - $8,784 22%
Avmed $1,477 - $16,299 26%
Sunshine State Health Plan $2,348 - $11,736 41%
United $4,644 - $10,555 82%
Humana $7,746 - $19,754 136%
Wellmed $7,826 138%
Blue Cross Blue Shield $8,066 - $30,630 142%
Fl Health Care Plan $8,066 142%
Devoted Health $8,145 144%
Ultimate Health Plan $8,145 144%
Aetna $8,185 - $39,504 144%
Freedom Health $8,305 146%
Optimum $8,305 146%
Solis Health Plan $8,305 146%
Sunshine State $8,345 147%
Wellcare $8,345 147%
Longevity Health Plan $8,385 148%
Simply $8,385 148%
Molina Healthcare $8,465 149%
Cigna $8,545 - $14,264 151%
Careplus $8,704 - $9,184 153%
Gold Kidney Of Florida $8,704 153%
Centurion $8,784 155%
Ndms Definitive Care $9,982 176%
Oscar $10,581 186%
Florida Health Care Plan $12,492 220%
Evolutions $12,635 223%
Truli For Health $17,408 307%
Simply Healthcare $32,330 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals