Encompass Health Rehabilitation Hospital of Kissimmee
4950 Calypso Cay Way, Kissimmee, FL 34746 · 47 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Encompass Health Rehabilitation Hospital of Kissimmee concentrates commercial margin in outpatient surgical suites (4.0× Medicare) and specialty drug infusions (3.7× Medicare) relative to routine diagnostics (3.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 3.2× Medicare (41¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Encompass Health Rehabilitation Hospital of Kissimmee
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 47 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, sinuses CPT Code: 70486 | $814 | 4.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $401 | 1.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $348 | 0.6× |
| Speech therapy (language evaluation) CPT Code: 92507 | $243 | 2.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $254 | 1.9× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $243 | 1.8× |
| Neurobehavioral status check CPT Code: 96116 | $239 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $209 | 2.3× |
| X-ray, shoulder CPT Code: 73030 | $209 | 2.3× |
| X-ray, foot CPT Code: 73630 | $209 | 2.3× |
| X-ray, chest (two views) CPT Code: 71046 | $209 | 2.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $209 | 2.2× |
| X-ray, hand CPT Code: 73130 | $209 | 2.2× |
| X-ray, hip CPT Code: 73502 | $209 | 2.2× |
| X-ray, ankle CPT Code: 73610 | $209 | 2.2× |
| X-ray, pelvis CPT Code: 72170 | $209 | 1.9× |
| X-ray, lower back CPT Code: 72110 | $209 | 1.9× |
| Ultrasound, pelvis CPT Code: 76856 | $232 | 1.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $203 | 1.6× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $104 | 2.7× |
| Physical therapy (gait training) CPT Code: 97116 | $83 | 2.5× |
| Physical therapy (manual therapy) CPT Code: 97140 | $85 | 2.5× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $86 | 2.5× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $89 | 2.3× |
| Occupational therapy (self-care training) CPT Code: 97535 | $86 | 2.3× |
Audit a Bill or Quote at Encompass Health Rehabilitation Hospital of Kissimmee (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($814) Beats Your Bill
Encompass Health Rehabilitation Hospital of Kissimmee's published 45 CFR § 180 self-pay cash rate is $814 (vs. $814 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $166 Fair BaseRate ($107 Medicare)
Your bill ($1,085) is $919 above the denoised Fair BaseRate ($166) and 10.1× the $107 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Encompass Health Rehabilitation Hospital of Kissimmee as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Encompass Health Rehabilitation Hospital of Kissimmee.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.