How many shoppable procedure prices are published for Baycare Hospital Wesley Chapel?

Baycare Hospital Wesley Chapel in Wesley Chapel, FL currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baycare Hospital Wesley Chapel's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baycare Hospital Wesley Chapel's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 86 Beds · urban Updated: 2026-01-01

Baycare Hospital Wesley Chapel

4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544 · 126 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.95×vs. Fair Market Price

Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness56

Price Logic74

Peer Alignment66

Clean Billing92

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.95× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Baycare Hospital Wesley Chapel prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#37 of 165 in FL · 21st State Percentile#960 of 3,385 in U.S. · 28th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 82% patient recommendation (77/100 safety score)
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 (0.95× 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 0.93× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.95× 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.
Unnegotiated chargemaster list prices average 10.0× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 0.71× · Q50 0.93× · Q75 1.00×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× 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

4 CMS · 77/100Fair

Procedure Prices at Baycare Hospital Wesley Chapel

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`	—	$14,853	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,853	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,735	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,420	$3,875	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,745	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,745	$3,446	1.1×
Inguinal hernia repair CPT Code: `49505`	$8,497	$3,542	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,205	$2,540	1.3×
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`	$1,746	$1,494	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,361	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,082	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,052	$981	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,612	$1,021	$1,021	1.0×
Psychological testing by technician CPT Code: `96138`	—	$901	$395	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,319	$695	$855	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,197	$631	$322	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,957	$550	$583	0.9×
Blood transfusion CPT Code: `36430`	$783	$439	$498	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$363	$166	2.2×
Family therapy session CPT Code: `90847`	—	$347	$173	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$363	$181	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,532	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,355	$358	$511	0.7×
Review of medical records for care CPT Code: `90889`	—	$318	$114	2.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$496	$329	$151	2.2×
Neurobehavioral status check CPT Code: `96116`	—	$313	$231	1.4×
Behavioral health day program HCPCS Code: `H2012`	—	$226	$100	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,094	$243	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,399	$243	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,511	$243	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,672	$243	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,653	$243	$369	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$3,743	$217	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,408	$217	$258	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$161	$123	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$2,655	$176	$160	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$239	$168	$185	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$108	$87	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$129	$128	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$132	$86	unverified
X-ray, hip CPT Code: `73502`	$583	$88	$93	0.9×
Group therapy session CPT Code: `90853`	—	$93	$100	0.9×
X-ray, lower back CPT Code: `72110`	$883	$98	$112	0.9×
Ultrasound, pelvis CPT Code: `76856`	$882	$113	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$682	$107	$126	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,218	$113	$134	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	—	$91	$110	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,206	$107	$132	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$295	$102	$148	0.7×
CT scan, sinuses CPT Code: `70486`	$2,632	$111	$166	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$273	$84	$123	0.7×
CT scan, pelvis CPT Code: `72192`	$2,933	$107	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,713	$107	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,004	$108	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,241	$107	$168	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$92	$92	$201	0.5×
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×
Flu vaccine injection HCPCS Code: `G0008`	$43	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$72	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$288	$60	$64	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$595	$73	$93	0.8×
X-ray, hand CPT Code: `73130`	$684	$73	$93	0.8×
Care planning with family CPT Code: `90887`	—	$67	$107	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$285	$88	$203	0.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$29	$27	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$72	$46	$49	0.9×
X-ray, ankle CPT Code: `73610`	$584	$70	$93	0.8×
X-ray, foot CPT Code: `73630`	$665	$65	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$656	$64	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$455	$59	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$473	$57	$110	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$59	$59	$86	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$19	$14	1.4×
X-ray, chest (single view) CPT Code: `71045`	$359	$44	$92	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$23	$11	$11	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 D CPT Code: `82306`	$50	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$14	$14	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, sodium CPT Code: `84295`	$12	$5	$5	1.0×
Orthotic fitting and training CPT Code: `97760`	$102	$30	$51	0.6×
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×
Culture, bacterial CPT Code: `87070`	$26	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$31	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$29	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$44	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$34	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$89	$10	$11	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$38	$18	$20	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$87	$8	$9	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, amylase CPT Code: `82150`	$22	$6	$7	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$30	$35	0.9×
Speech therapy (group session) CPT Code: `92508`	$52	$23	$27	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×
Physical therapy (manual therapy) CPT Code: `97140`	$98	$23	$34	0.7×
Physical therapy (gait training) CPT Code: `97116`	$91	$22	$33	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$104	$23	$35	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$103	$24	$38	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$24	$38	0.6×
Prosthetic fitting and training CPT Code: `97761`	$70	$28	$45	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$23	$38	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$92	$24	$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×
Blood antibody screen CPT Code: `86850`	$67	$12	$46	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$174	$20	$111	0.2×

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 Baycare Hospital Wesley Chapel (Zero PHI Required)

CMS CCN: 100362

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $14,853

1. Amount on Your Bill or Quote ($) Pre-filled with Baycare Hospital Wesley Chapel’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 Baycare Hospital Wesley Chapel'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 +$22,234 Above Fair BaseRate

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

Your bill ($35,647) is $22,234 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)

Public IRS & CMS ownership records classify Baycare Hospital Wesley Chapel 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 Overall4/5 Stars (4/5)

Safety Composite77/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait153 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 Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baycare Hospital Wesley Chapel. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-25·administrative_or_closure
Closure Notice
Recorded
2025-08-20·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (389 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baycare Hospital Wesley Chapel.

Price Index: 1.06× regional baseline

Quality: 75/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-61.8%

Median Household Income$67,384U.S. Census ACS

Local Uninsured Share10.7%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 76/100 · Corroborated CMS CCN 100362

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 100362) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows10,152 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100362

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