Payer comparison · OTHER 217 · NAPLES, FL

217 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc

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.

$97,898 All-payer median here

18 payer/plan-name variants

← This hospital National rates for 217 →

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	$197,249	101.5%	3
UnitedHealthcare	$148,188	51.4%	9
OCCUNET	$145,474	48.6%	3
Aetna	$140,567	43.6%	8
Cigna Healthcare	$127,285	30.0%	3
Sunshine Health Ambetter Marketplace	$123,653	26.3%	3
Blue Cross Blue Shield	$115,688	18.2%	24
Florida State Auto Insurance	$96,983	-0.9%	3
US Department of Labor (OWCP)	$66,331	-32.2%	3
WellCare Health Plans	$49,946	-49.0%	3
Simply Healthcare Plans	$49,932	-49.0%	3
Node Freedom Optimum Mcr Adv	$48,982	-50.0%	1
Freedom Optimum	$48,982	-50.0%	2
VA / CHAMPVA	$48,491	-50.5%	9
Aetna Mcr Adv	$47,556	-51.4%	1
Centers for Medicare & Medicaid Services	$47,556	-51.4%	6
Humana	$47,556	-51.4%	3
TRICARE	$12,978	-86.7%	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.