CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$367

about 1.0× the $356 Medicare rate · typically $363–$634

modeled estimate · not a bill or quote

What this hospital charges insurers

$363

About the fair price

about $4 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $367 This hospital $363 Cash price $3,957 Hospital's list price $17,585

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $363

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $367 (about 1.0× the $356 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $363, or about $3,957 in cash — about the fair price. Located in Naples, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$207 - $4,255	58%
Blue Cross Blue Shieldmajor	$358 - $2,552	100%
Aetnamajor	$358 - $11,676	100%
Cignamajor	$1,316	369%
Humanamajor	$213 - $358	60%
Ambetter (Centene)	$929	261%
Amerigroup	$226	63%
AvMed	$6,682	1875%
HealthPartners	$1,876	526%
Simply Healthcare	$219 - $3,000	61%
WellCare	$217 - $375	61%
+ 9 smaller / regional plans	$207 - $1,250

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,957), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Physicians Regional Medical Center - Pine Ridge is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Physicians Regional Medical Center - Pine Ridge

Compare: CT scan, abdomen and pelvis (with contrast) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.