Payer comparison · OTHER 216 · CORAL GABLES, FL

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays CORAL GABLES HOSPITAL (CCN 100183) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$83,588 All-payer median here

33 payer/plan-name variants

← This hospital National rates for 216 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

TRICARE	$212,666	154.4%	1
AmeriHealth Caritas	$162,434	94.3%	2
Auto Insurance	$151,101	80.8%	1
Centene	$139,768	67.2%	1
AVMED ENCOUNTERS	$132,213	58.2%	1
AvMed	$130,682	56.3%	3
Imagine Health	$126,516	51.4%	1
Aetna	$107,606	28.7%	4
UnitedHealthcare	$106,905	27.9%	4
Cigna Healthcare	$106,162	27.0%	4
Naphcare Inc	$103,702	24.1%	1
EMPLOYER DIRECT HEALTHCARE	$94,438	13.0%	1
Self Pay/Uninsured	$92,591	10.8%	1
Oscar Health	$90,987	8.9%	1
Molina Healthcare	$89,850	7.5%	2
BCBS of Florida (Florida Blue)	$86,545	3.5%	10
Bright Health	$82,367	-1.5%	2
Solis Health Plans Medicare	$79,328	-5.1%	1
Longevity Health Plan	$78,950	-5.5%	1
Simply Healthcare Plans	$77,777	-7.0%	1
FREEDOM HEALTH PLAN	$77,777	-7.0%	1
Florida Pace Centers	$77,777	-7.0%	1
DOCTORS HEALTHCARE PLANS, INC.	$77,777	-7.0%	1
HEALTHSUN HEALTH PLAN	$77,777	-7.0%	1
WellCare Health Plans	$74,073	-11.4%	1
Devoted Health	$74,073	-11.4%	1
Medicare (Generic)	$74,073	-11.4%	1
Non-Contracted Medicare Hmo	$74,073	-11.4%	1
Sunshine Health	$74,073	-11.4%	1
Leon Health Inc	$74,040	-11.4%	1
Mmm Of Florida Medicare Advantage	$72,592	-13.2%	1
Humana	$71,480	-14.5%	5
VA / CHAMPVA	$63,701	-23.8%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.