Payer comparison · OTHER 216 · NAPLES, FL

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

What each payer pays PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE (CCN 100286) 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.

$106,347 All-payer median here

18 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

Community Health Partners	$293,453	175.9%	3
UnitedHealthcare	$220,475	107.3%	9
OCCUNET	$216,438	103.5%	3
Aetna	$209,137	96.7%	8
Cigna Healthcare	$189,375	78.1%	3
Sunshine Health Ambetter Marketplace	$183,972	73.0%	3
Florida State Auto Insurance	$144,292	35.7%	3
Blue Cross Blue Shield	$115,688	8.8%	24
US Department of Labor (OWCP)	$97,871	-8.0%	3
WellCare Health Plans	$74,310	-30.1%	3
Simply Healthcare Plans	$74,273	-30.2%	3
Node Freedom Optimum Mcr Adv	$72,859	-31.5%	1
Freedom Optimum	$72,859	-31.5%	2
VA / CHAMPVA	$72,146	-32.2%	9
Aetna Mcr Adv	$70,738	-33.5%	1
Centers for Medicare & Medicaid Services	$70,738	-33.5%	6
Humana	$70,738	-33.5%	3
TRICARE	$11,624	-89.1%	3

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.