Payer comparison · OTHER 4 · NAPLES, FL

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$174,872 All-payer median here

18 payer/plan-name variants

← This hospital National rates for 4 →

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	$415,483	137.6%	3
UnitedHealthcare	$312,169	78.5%	9
OCCUNET	$306,453	75.2%	3
Aetna	$296,115	69.3%	8
Cigna Healthcare	$268,135	53.3%	3
Sunshine Health Ambetter Marketplace	$260,485	49.0%	3
Florida State Auto Insurance	$204,302	16.8%	3
Blue Cross Blue Shield	$190,232	8.8%	24
US Department of Labor (OWCP)	$137,877	-21.2%	3
WellCare Health Plans	$105,216	-39.8%	3
Simply Healthcare Plans	$105,148	-39.9%	3
Node Freedom Optimum Mcr Adv	$103,146	-41.0%	1
Freedom Optimum	$103,146	-41.0%	2
VA / CHAMPVA	$102,151	-41.6%	9
Aetna Mcr Adv	$100,143	-42.7%	1
Centers for Medicare & Medicaid Services	$100,143	-42.7%	6
Humana	$100,143	-42.7%	3
TRICARE	$6,469	-96.3%	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.