CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $248
  • Cash Discount Price: $2,013
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Physicians Regional Medical Center - Pine Ridge is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,013. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.38x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$2,013

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,013 (1123%)
Insurance Median: $248 (138%)
Cash: $2,013 (1123% of Medicare)
Ins. Median: $248 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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
Veterans Eval Services $168 94%
Tricare $174 97%
Aetna $180 - $5,940 100%
Blue Cross Blue Shield $180 - $2,552 100%
Humana $180 - $213 100%
Medicare (plans) $180 100%
UnitedHealthcare $180 - $2,165 100%
Node Champva $183 102%
Node Non Par Hospice Agree $183 102%
Node Va $183 102%
Freedom Optimum $186 104%
Node Wellcare Mcr Adv $189 105%
Childrens Medical Services $207 116%
Medicaid / KanCare $207 - $228 116%
Integral Health $217 121%
Wellcare $217 121%
Simply Healthcare Plan $219 122%
Magellan $222 124%
Amerigroup $226 126%
Node Us Dept Of Labor $229 128%
Occunet $238 - $1,250 133%
Prestige Health $240 134%
Prime Health Work Comp Fl $256 143%
Rockport $256 143%
Florida Workers Compensation $264 147%
Florida State Auto Insurance $366 204%
Ambetter / Centene $467 261%
Cigna $656 366%
Community Health Partners $943 526%
Self Pay $1,610 - $2,147 898%
Simply Healthcare $2,773 1547%
Avmed $3,399 1897%

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