How many shoppable procedure prices are published for Sarasota Memorial Hospital?

Sarasota Memorial Hospital in Sarasota, FL currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sarasota Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sarasota Memorial Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Sarasota Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sarasota Memorial Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 786 Beds · urban Updated: 8/1/2025

Sarasota Memorial Hospital

1700 S Tamiami Trl, Sarasota, FL 34239 · 134 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.68×vs. Fair Market Price

Typical commercial prices here are 32% below the fair benchmark (0.68×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 57% of the Time

File Completeness66

Price Logic87

Peer Alignment71

Clean Billing91

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.68× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Sarasota Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.62× Fair BaseRate) and emergency/ancillary services (0.7× Medicare, p75 0.92× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 165 in FL · 2nd State Percentile#120 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 32% below peer Fair BaseRate (0.68×)
Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 77% patient recommendation (66/100 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 (0.68× 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 0.62× Fair BaseRate (0.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.92×) jump +48% above the median procedure ratio (Q50 0.62×)
Unnegotiated chargemaster list prices average 10.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.00× Divergence

0.7× Medicare

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

Quantile Tail Spread+48% Upper Tail

Q25 0.45× · Q50 0.62× · Q75 0.92×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.7× MedicareGood

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

57% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 66/100Fair

Procedure Prices at Sarasota Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	—	$3,011	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,689	$2,680	1.0×
Trauma team activation HCPCS Code: `G0390`	$3,925	$1,461	$1,453	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$845	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$847	$3,372	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$730	$855	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$659	$3,629	0.2×
Bunion correction surgery CPT Code: `28296`	—	$632	$3,446	0.2×
Breast lump removal CPT Code: `19120`	—	$636	$3,875	0.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$408	$406	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$431	$1,021	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$2,110	$447	$1,256	0.4×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$368	$257	1.4×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$368	$269	1.4×
Rabies immune globulin HCPCS Code: `90375`	$357	$367	$322	1.1×
Behavioral health day treatment HCPCS Code: `H0010`	—	$359	$343	1.0×
Behavioral health residential care HCPCS Code: `H0011`	—	$368	$364	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,894	$384	$987	0.4×
Psychological testing by technician CPT Code: `96138`	—	$350	$395	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,962	$341	$981	0.3×
X-ray, pelvis CPT Code: `72170`	$293	$293	$110	2.7×
Blood transfusion CPT Code: `36430`	$561	$290	$498	0.6×
Behavioral health day program HCPCS Code: `H2012`	—	$218	$100	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,672	$207	$448	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,326	$218	$511	0.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$155	$181	$151	1.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$167	$140	1.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$167	$157	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$166	$169	$185	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$219	$135	$123	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$198	$151	$181	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,395	$168	$369	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$152	$100	$86	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$152	$95	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$194	$111	$110	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$148	$108	$166	0.7×
Family therapy session CPT Code: `90847`	$138	$109	$173	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$99	$99	$201	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,052	$118	$258	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$881	$123	$272	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,245	$124	$303	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,567	$131	$343	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,784	$126	$338	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,256	$83	$167	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$100	$231	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,856	$99	$242	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,367	$120	$583	0.2×
Behavioral health living support HCPCS Code: `H2019`	—	$83	$34	2.4×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$82	$88	0.9×
Typhoid vaccine HCPCS Code: `90675`	$353	$343	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$153	$170	$203	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$61	$143	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$117	$97	$111	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$69	$69	$86	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$26	$37	$33	1.1×
Mental health services (therapy) HCPCS Code: `H0032`	—	$57	$65	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$84	$49	$51	1.0×
Care planning with family CPT Code: `90887`	—	$72	$107	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$862	$79	$134	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$449	$75	$132	0.6×
Ultrasound, pelvis CPT Code: `76856`	$514	$70	$130	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$185	$65	$123	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$234	$78	$148	0.5×
CT scan, pelvis CPT Code: `72192`	$2,433	$79	$163	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$613	$60	$126	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,151	$77	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,208	$77	$169	0.5×
CT scan, sinuses CPT Code: `70486`	$1,649	$75	$166	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$37	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,772	$69	$160	0.4×
Prosthetic fitting and training CPT Code: `97761`	$75	$42	$45	0.9×
Review of medical records for care CPT Code: `90889`	—	$64	$114	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$15	$14	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$37	$24	$25	1.0×
Speech therapy (group session) CPT Code: `92508`	$126	$25	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$81	$37	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$46	$35	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$105	$34	$37	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$34	$32	$35	0.9×
Physical therapy (gait training) CPT Code: `97116`	$74	$30	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$84	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$75	$34	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$86	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$84	$29	$34	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$36	$39	$48	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$53	$45	$56	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$44	$31	$39	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$42	$128	0.3×
X-ray, hip CPT Code: `73502`	$286	$30	$93	0.3×
X-ray, lower back CPT Code: `72110`	$530	$36	$112	0.3×
X-ray, hand CPT Code: `73130`	$375	$29	$93	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$3	$4	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$13	$19	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$6	$9	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$409	$28	$93	0.3×
X-ray, ankle CPT Code: `73610`	$414	$28	$93	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$2	$3	0.7×
Blood test, hemoglobin CPT Code: `85018`	$19	$2	$3	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$16	$4	$6	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$46	$9	$14	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$62	$7	$11	0.6×
Culture, blood CPT Code: `87040`	$112	$7	$11	0.6×
Blood test, vitamin B12 CPT Code: `82607`	$50	$10	$16	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$5	$8	0.6×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$10	$16	0.6×
Blood test, vitamin D CPT Code: `82306`	$80	$19	$31	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$11	$18	0.6×
Blood test, calcium CPT Code: `82310`	$31	$3	$5	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$3	$5	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$37	$6	$10	0.6×
Blood test, potassium CPT Code: `84132`	$28	$3	$5	0.6×
Blood test, sodium CPT Code: `84295`	$29	$3	$5	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$3	$5	0.6×
Hepatitis C antibody test CPT Code: `86803`	$63	$9	$15	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$43	$8	$14	0.6×
Group therapy session CPT Code: `90853`	$98	$32	$100	0.3×
Blood test, amylase CPT Code: `82150`	$43	$4	$7	0.6×
Blood test, lipase CPT Code: `83690`	$47	$4	$7	0.6×
Blood test, magnesium CPT Code: `83735`	$42	$4	$7	0.6×
Blood test, liver function panel CPT Code: `80076`	$51	$5	$9	0.6×
Culture, bacterial CPT Code: `87070`	$86	$5	$9	0.6×
X-ray, shoulder CPT Code: `73030`	$441	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$377	$26	$92	0.3×
Drug screening test HCPCS Code: `G0480`	$30	$30	$116	0.3×
X-ray, chest (two views) CPT Code: `71046`	$367	$22	$93	0.2×
Blood antibody screen CPT Code: `86850`	$29	$10	$46	0.2×
X-ray, chest (single view) CPT Code: `71045`	$323	$16	$92	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$182	$10	$64	0.2×
Community mental health services HCPCS Code: `H0038`	—	$2	$16	0.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$20	$20	unverified

Showing top 25 high-impact procedures of 134 total

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

Audit a Bill or Quote at Sarasota Memorial Hospital (Zero PHI Required)

CMS CCN: 100087

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $3,011

1. Amount on Your Bill or Quote ($) Pre-filled with Sarasota Memorial Hospital’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 Sarasota Memorial Hospital'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 +$4,251 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($7,226) is $4,251 above the denoised Fair BaseRate ($2,975) and 2.9× the $2,473 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 Sarasota Memorial Hospital 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 Recommend77%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait204 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (5,444 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 Sarasota Memorial Hospital.

Price Index: 0.64× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-61.4%

Simply Healthcare

-59.3%

Blue Cross Blue Shield

-45.9%

Aetna

+72.4%

AvMed

+98.1%

Median Household Income$80,633U.S. Census ACS

Local Uninsured Share10.0%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 82/100 · Corroborated CMS CCN 100087

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 100087) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage8/1/2025

Validated Rate Rows12,106 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100087

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