Payer comparison · OTHER 219 · NAPLES, FL

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without 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.

$92,153 All-payer median here

18 payer/plan-name variants

← This hospital National rates for 219 →

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	$230,332	149.9%	3
UnitedHealthcare	$173,046	87.8%	9
OCCUNET	$169,877	84.3%	3
Aetna	$164,147	78.1%	8
Cigna Healthcare	$148,637	61.3%	3
Sunshine Health Ambetter Marketplace	$144,396	56.7%	3
Florida State Auto Insurance	$113,252	22.9%	3
Blue Cross Blue Shield	$100,248	8.8%	24
US Department of Labor (OWCP)	$77,177	-16.3%	3
WellCare Health Plans	$58,325	-36.7%	3
Simply Healthcare Plans	$58,303	-36.7%	3
Node Freedom Optimum Mcr Adv	$57,193	-37.9%	1
Freedom Optimum	$57,193	-37.9%	2
VA / CHAMPVA	$56,626	-38.6%	9
Aetna Mcr Adv	$55,528	-39.7%	1
Centers for Medicare & Medicaid Services	$55,528	-39.7%	6
Humana	$55,528	-39.7%	3
TRICARE	$14,233	-84.6%	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.