CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $227
  • Cash Discount Price: $1,552
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Physicians Regional Medical Center - Pine Ridge is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,552. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.27x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$1,552

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $1,552 (866%)
Insurance Median: $227 (127%)
Cash: $1,552 (866% of Medicare)
Ins. Median: $227 (127% 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 - $4,579 100%
Blue Cross Blue Shield $180 - $2,552 100%
Humana $180 - $213 100%
Medicare (plans) $180 100%
UnitedHealthcare $180 - $1,669 100%
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%
Occunet $190 - $1,250 106%
Prime Health Work Comp Fl $205 114%
Rockport $205 114%
Childrens Medical Services $207 116%
Medicaid / KanCare $207 - $228 116%
Florida Workers Compensation $211 118%
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%
Prestige Health $240 134%
Florida State Auto Insurance $366 204%
Ambetter / Centene $467 261%
Cigna $656 366%
Community Health Partners $943 526%
Self Pay $1,241 - $1,655 693%
Simply Healthcare $2,138 1193%
Avmed $2,620 1462%

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