CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$114

about 0.7× the $157 Medicare rate · typically $100–$175

modeled estimate · not a bill or quote

What this hospital charges insurers

$114

About the fair price

0.7× Medicare

Medicare pays $157 Fair price $114 This hospital $114 Cash price $212 Hospital's list price $942

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 $31 Priciest $114

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

A fair price for a Diagnostic mammogram (both breasts) is about $114 (about 0.7× the $157 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $114, or about $212 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	$29 - $355	18%
Blue Cross Blue Shieldmajor	$111 - $691	71%
Aetnamajor	$111 - $626	71%
Cignamajor	$119	76%
Humanamajor	$30 - $111	19%
Ambetter (Centene)	$287	183%
Amerigroup	$32	20%
AvMed	$358	228%
HealthPartners	$580	369%
Simply Healthcare	$31 - $292	20%
WellCare	$31 - $116	20%
+ 9 smaller / regional plans	$29 - $281

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 212), 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: 77066.

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 77066.
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: Diagnostic mammogram (both breasts) at other FL hospitals

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