How many shoppable procedure prices are published for Bartow Regional Medical Center?

Bartow Regional Medical Center in Bartow, FL currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bartow Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bartow Regional Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Bartow Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Bartow Regional Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 72 Beds · urban Updated: 2026-01-01

Bartow Regional Medical Center

2200 Osprey Blvd, Bartow, FL 33830 · 126 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness51

Price Logic74

Peer Alignment65

Clean Billing94

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Bartow Regional Medical Center prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#42 of 165 in FL · 24th State Percentile#1,026 of 3,385 in U.S. · 30th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 67% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,832) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+6% Upper Tail

Q25 0.83× · Q50 0.96× · Q75 1.02×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Bartow Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$14,745	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,745	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,588	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,330	$3,875	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,673	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,673	$3,446	1.1×
Inguinal hernia repair CPT Code: `49505`	$8,497	$3,680	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,747	$2,540	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,666	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,590	$2,680	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,523	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,337	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,059	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,034	$981	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,612	$1,041	$1,021	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,319	$722	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,957	$561	$583	1.0×
Psychological testing by technician CPT Code: `96138`	—	$531	$395	unverified
Blood transfusion CPT Code: `36430`	$783	$456	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,197	$371	$322	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,532	$378	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,355	$378	$511	0.7×
Review of medical records for care CPT Code: `90889`	—	$318	$114	unverified
Neurobehavioral status check CPT Code: `96116`	—	$319	$231	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,399	$256	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,511	$256	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,672	$256	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,653	$256	$369	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$226	$100	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,094	$247	$272	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$214	$166	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$496	$194	$151	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$214	$181	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$3,743	$213	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,408	$213	$258	0.8×
Family therapy session CPT Code: `90847`	—	$214	$173	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$161	$123	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$239	$170	$185	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,655	$160	$160	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$108	$87	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$132	$128	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$144	$90	$86	1.0×
Group therapy session CPT Code: `90853`	—	$96	$100	1.0×
Ultrasound, pelvis CPT Code: `76856`	$882	$115	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,218	$115	$134	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$91	$110	0.8×
CT scan, sinuses CPT Code: `70486`	$2,632	$114	$166	0.7×
X-ray, chest (single view) CPT Code: `71045`	$359	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$656	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$665	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$883	$107	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$455	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$595	$88	$93	0.9×
X-ray, hand CPT Code: `73130`	$684	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$583	$88	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$682	$113	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,206	$113	$132	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$295	$111	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$273	$92	$123	0.7×
CT scan, pelvis CPT Code: `72192`	$2,933	$113	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,713	$113	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,241	$113	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,004	$113	$169	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$92	$92	$201	0.5×
X-ray, pelvis CPT Code: `72170`	$473	$107	$110	unverified
X-ray, ankle CPT Code: `73610`	$584	$88	$93	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$398	$398	$140	2.8×
Typhoid vaccine HCPCS Code: `90675`	$1,493	$328	$347	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$45	$34	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$288	$61	$64	1.0×
Care planning with family CPT Code: `90887`	—	$67	$107	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$285	$88	$203	0.4×
Blood antibody screen CPT Code: `86850`	$44	$54	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$43	$47	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$72	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$72	$47	$49	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$59	$59	$86	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$87	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$23	$11	$11	1.0×
Prosthetic fitting and training CPT Code: `97761`	$66	$29	$45	0.6×
Orthotic fitting and training CPT Code: `97760`	$87	$32	$51	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$22	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$50	$31	$31	1.0×
Blood test, calcium CPT Code: `82310`	$25	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$29	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$22	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$25	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$17	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$13	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$31	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$12	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$16	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$44	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$89	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$26	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$14	$14	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$24	$8	$9	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$29	$33	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$74	$20	$25	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$26	$35	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$24	$35	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$23	$34	0.7×
Physical therapy (gait training) CPT Code: `97116`	$68	$22	$33	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$77	$25	$38	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$52	$25	$38	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$66	$24	$38	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$25	$40	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$101	$20	$37	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$20	$39	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$174	$20	$56	0.4×
Drug screening test HCPCS Code: `G0480`	$36	$36	$116	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$174	$20	$111	0.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$34	$14	$14	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$14	$14	unverified
Speech therapy (group session) CPT Code: `92508`	$43	$23	$27	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$38	$19	$20	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$30	$27	unverified

Showing top 25 high-impact procedures of 126 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Bartow Regional Medical Center (Zero PHI Required)

CMS CCN: 100121

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $14,745

1. Amount on Your Bill or Quote ($) Pre-filled with Bartow Regional Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Bartow Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$21,975 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($35,388) is $21,975 above the denoised Fair BaseRate ($13,413) and 2.7× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 475387418

Filing Period: 201602

Public IRS & CMS ownership records classify Bartow Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait128 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bartow Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-26·administrative_or_closure
Closure Notice
Recorded
2025-08-22·warning_notice
Warning Notice
Recorded
2023-06-15·administrative_or_closure
Closure Notice
Recorded
2022-05-04·cap_corrective_action
CAP Request
Recorded
2021-08-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (561 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bartow Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-60.6%

Median Household Income$63,644U.S. Census ACS

Local Uninsured Share13.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 100121 EIN 475387418

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 100121) ↗ Verify IRS Form 990 (EIN 475387418) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows10,560 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100121

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy