Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

231 — Coronary Bypass With Ptca 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.

$107,131 All-payer median here
18 payer/plan-name variants
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 $252,875 136.0% 3
UnitedHealthcare $189,985 77.3% 9
OCCUNET $186,506 74.1% 3
Aetna $180,214 68.2% 8
Cigna Healthcare $163,186 52.3% 3
Sunshine Health Ambetter Marketplace $158,530 48.0% 3
Florida State Auto Insurance $124,337 16.1% 3
Blue Cross Blue Shield $116,541 8.8% 24
US Department of Labor (OWCP) $84,567 -21.1% 3
WellCare Health Plans $64,034 -40.2% 3
Simply Healthcare Plans $64,006 -40.3% 3
Node Freedom Optimum Mcr Adv $62,788 -41.4% 1
Freedom Optimum $62,788 -41.4% 2
VA / CHAMPVA $62,169 -42.0% 9
Aetna Mcr Adv $60,960 -43.1% 1
Centers for Medicare & Medicaid Services $60,960 -43.1% 6
Humana $60,960 -43.1% 3
TRICARE $13,751 -87.2% 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.