PAM Health Rehabilitation Hospital of Venice
2639 Curry Ln, Nokomis, FL 34275 · 79 Priced Procedures
Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
PAM Health Rehabilitation Hospital of Venice maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.91× 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 0.92× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.91× 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 6.4× Medicare (23¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at PAM Health Rehabilitation Hospital of Venice
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 79 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Colonoscopy with biopsy CPT Code: 45380 | $1,177 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $914 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $892 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $537 | 0.9× |
| Blood transfusion CPT Code: 36430 | $434 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $343 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $343 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $235 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $235 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $235 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $235 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $235 | 0.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $172 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $172 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $123 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $103 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $86 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $86 | 0.9× |
| X-ray, foot CPT Code: 73630 | $86 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $86 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $86 | 0.9× |
| X-ray, hand CPT Code: 73130 | $86 | 0.9× |
| X-ray, hip CPT Code: 73502 | $86 | 0.9× |
| X-ray, ankle CPT Code: 73610 | $86 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $103 | 0.9× |
Audit a Bill or Quote at PAM Health Rehabilitation Hospital of Venice (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
PAM Health Rehabilitation Hospital of Venice's published 45 CFR § 180 self-pay cash rate is $4,872 (vs. $1,177 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)
Your bill ($4,872) is $3,616 above the denoised Fair BaseRate ($1,256) and 4.0× the $1,223 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify PAM Health Rehabilitation Hospital of Venice 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for PAM Health Rehabilitation Hospital of Venice.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.