CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $372
  • Cash Discount Price: $3,957
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Physicians Regional Medical Center - Pine Ridge is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,957. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.04x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$3,957

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,957 (1110%)
Insurance Median: $372 (104%)
Cash: $3,957 (1110% of Medicare)
Ins. Median: $372 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Childrens Medical Services $207 58%
Medicaid / KanCare $207 - $228 58%
UnitedHealthcare $207 - $4,255 58%
Humana $213 - $358 60%
Integral Health $217 61%
Wellcare $217 61%
Simply Healthcare Plan $219 61%
Magellan $222 62%
Amerigroup $226 63%
Prestige Health $240 67%
Veterans Eval Services $336 94%
Occunet $337 - $1,250 95%
Tricare $346 97%
Aetna $358 - $11,676 100%
Blue Cross Blue Shield $358 - $2,552 100%
Medicare (plans) $358 100%
Prime Health Work Comp Fl $363 102%
Rockport $363 102%
Node Champva $364 102%
Node Non Par Hospice Agree $364 102%
Node Va $364 102%
Freedom Optimum $369 104%
Florida Workers Compensation $374 105%
Node Wellcare Mcr Adv $375 105%
Node Us Dept Of Labor $455 128%
Florida State Auto Insurance $729 205%
Ambetter / Centene $929 261%
Cigna $1,316 369%
Community Health Partners $1,876 526%
Simply Healthcare $3,000 842%
Self Pay $3,165 - $4,220 888%
Avmed $6,682 1875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals