PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
HOSPITALProprietary

Baycare Hospital Wesley Chapel

Wesley Chapel, FL

4501 BRUCE B DOWNS BLVD, Wesley Chapel, FL 33544(813) 914-1000

Not rated by CMS

CMS star rating

86

Beds

3,329

Inpatient discharges a year

$113.8M

Net patient revenue a year

29

In-network payers

About this hospital

Baycare Hospital Wesley Chapel is an 86-bed proprietary hospital in Wesley Chapel, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 328 disclosed rate categories.

  • Disproportionate share hospital
CCN
100362
NPI
1518604693
Website
baycare.org
Teaching
No Medicare-funded residents
County
Pasco County
Metro area
Tampa-St. Petersburg-Clearwater, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2023
Last CMS survey
2023

Prices for common services

The 24 services Baycare Hospital Wesley Chapel most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$548 - $6,356

from 3 insurers · median $5,196

Cigna$548
Insurer A*$5,196
Insurer B*$6,356
Medicare $330

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,848 - $10,645

from 3 insurers · median $6,100

Blue Cross$6,100
Insurer A*$2,848
Insurer B*$10,645
Medicare $858

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$286 - $4,767

from 3 insurers · median $3,790

Cigna$286
Insurer A*$3,790
Insurer B*$4,767
Medicare $226

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$2,249 - $2,838

from 3 insurers · median $2,745

UnitedHealthcare$2,745
Insurer A*$2,249
Insurer B*$2,838
Medicare $517

Common here, based on CMS Medicare volume

How the insurers pay at Baycare Hospital Wesley Chapel

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*9
551%
00
Insurer B*22
354%
00
Insurer C*24
307%
00
Insurer D*10
294%
00

How we chose these services: 2 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Baycare Hospital Wesley Chapel, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    Not rated by CMS

    • 153 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 177 affiliated clinicians
    See doctors and services

  • Finances

    $113.8M net patient revenue

    • Operating margin on patient care -0.4%
    • $13.5M unreimbursed and uncompensated care
    • $1.5M net income
    See finances

  • Ownership and leadership

    Owned by Baycare Health System, Inc.

    • Private (for profit)
    • Kimberly Guy, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baycare Hospital Wesley Chapel in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
83-2099849Baycare Pasco INC48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more1518604693 Baycare Pasco Inc.1205712841 Baycare Pasco Inc.

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

4501 BRUCE B DOWNS BLVD, Wesley Chapel, FL 33544

(813) 914-1000

Get directions

Frequently asked questions

About Baycare Hospital Wesley Chapel's rates and hospital price transparency.

How much does a CT scan cost at Baycare Hospital Wesley Chapel?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baycare Hospital Wesley Chapel range from $548 to $6,356 across 3 insurers. Cigna's rate is $548. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Baycare Hospital Wesley Chapel?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Baycare Hospital Wesley Chapel range from $1,370 to $6,952 across 3 insurers. Blue Cross Blue Shield's rate is $6,952. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Baycare Hospital Wesley Chapel?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baycare Hospital Wesley Chapel range from $252 to $449 across 3 insurers. Cigna's rate is $252. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Baycare Hospital Wesley Chapel a teaching hospital?

CMS reports no Medicare-funded interns or residents at Baycare Hospital Wesley Chapel for fiscal year 2027.

Does Medicare penalize Baycare Hospital Wesley Chapel for readmissions?

No. Baycare Hospital Wesley Chapel has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Baycare Hospital Wesley Chapel?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (67 discharges), heart failure and shock with mcc (26 discharges), esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc (21 discharges).

What is Baycare Hospital Wesley Chapel's case mix index?

Baycare Hospital Wesley Chapel's Medicare case mix index is 1.61 for fiscal year 2027, higher than 41% of hospitals paid under the inpatient prospective payment system.

How many patients does Baycare Hospital Wesley Chapel admit?

Baycare Hospital Wesley Chapel reported 3,329 inpatient discharges and 11,795 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Baycare Hospital Wesley Chapel have?

Baycare Hospital Wesley Chapel reported 379 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Baycare Hospital Wesley Chapel make?

Baycare Hospital Wesley Chapel reported $113.8M in net patient revenue on $468.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -0.4%, and net income of $1.5M.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster