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Sarasota County Public Hospital District

North Venice, FL

North Venice, FL

212

Beds

15,795

Inpatient discharges a year

$346.7M

Net patient revenue a year

19

In-network payers

About this hospital

Sarasota County Public Hospital District is a 212-bed hospital in North Venice, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 278 disclosed rate categories.

CCN
100359
NPI
1013534445
Website
smh.com
Teaching
No Medicare-funded residents
County
Sarasota County
Metro area
North Port-Bradenton-Sarasota, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2021
Last CMS survey
2024

Prices for common services

The 24 services Sarasota County Public Hospital District 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.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$50,887 - $89,842

from 3 insurers · median $87,124

Cigna$89,842
Insurer A*$50,887
Insurer B*$87,124
Medicare $20,793Nearby hospitals $67,68229% above nearby hospitals

21 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,535 - $16,277

from 2 insurers · median $12,406

Cigna$8,535
Insurer A*$16,277
Medicare $5,899Nearby hospitals $12,351In line with nearby hospitals

167 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$29,382 - $47,376

from 4 insurers · median $45,151

Cigna$47,376
Insurer A*$29,382
Insurer B*$44,359
Insurer C*$45,943
Medicare $10,452Nearby hospitals $37,61820% above nearby hospitals

38 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$859 - $5,012

from 3 insurers · median $1,079

Aetna$5,012
Insurer A*$859
Insurer B*$1,079
Medicare $340Nearby hospitals $89021% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sarasota County Public Hospital District

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*23
315%
138
Insurer B*20
307%
68
Insurer C*20
280%
160
Insurer D*7
191%
34

How we chose these services: 9 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 2 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 Sarasota County Public Hospital District, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
59-6012500Sarasota County Public Hospital District56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1245294826 Sarasota County Public Hospital District1013534445 Sarasota County Public Hospital District1740263367 Sarasota County Public Hospital Districtand 1 more

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

North Venice, FL

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Frequently asked questions

About Sarasota County Public Hospital District's rates and hospital price transparency.

How much does an MRI cost at Sarasota County Public Hospital District?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Sarasota County Public Hospital District range from $2,446 to $2,718 across 3 insurers. UnitedHealthcare's rate is $2,551. The median at nearby comparable hospitals is $972. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sarasota County Public Hospital District?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sarasota County Public Hospital District range from $859 to $5,012 across 3 insurers. Aetna's rate is $5,012. The median at nearby comparable hospitals is $890. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sarasota County Public Hospital District?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sarasota County Public Hospital District range from $1,962 to $4,698 across 4 insurers. Aetna's rate is $2,009. The median at nearby comparable hospitals is $4,697. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sarasota County Public Hospital District?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sarasota County Public Hospital District range from $225 to $413 across 3 insurers. Cigna's rate is $274. The median at nearby comparable hospitals is $211. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Sarasota County Public Hospital District?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sarasota County Public Hospital District range from $29,382 to $47,376 across 4 insurers. Cigna's rate is $47,376. The median at nearby comparable hospitals is $37,618. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Sarasota County Public Hospital District a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sarasota County Public Hospital District for fiscal year 2027.

Does Medicare penalize Sarasota County Public Hospital District for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sarasota County Public Hospital District's base inpatient payments by an estimated 0.05% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sarasota County Public Hospital District?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (470 discharges), heart failure and shock with mcc (310 discharges), esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc (214 discharges).

What is Sarasota County Public Hospital District's case mix index?

Sarasota County Public Hospital District's Medicare case mix index is 1.48 for fiscal year 2027, higher than 25% of hospitals paid under the inpatient prospective payment system.

How many patients does Sarasota County Public Hospital District admit?

Sarasota County Public Hospital District reported 15,795 inpatient discharges and 66,553 inpatient days from Oct 1, 2024 to Sep 30, 2025.

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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • Missing, duplicate and outdated charge lines identified
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