CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$265

about 1.1× the $244 Medicare rate · typically $253–$490

modeled estimate · not a bill or quote

What this hospital charges insurers

$253

About the fair price

about $12 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $265 This hospital $253 Cash price $1,192 Hospital's list price $5,297

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 $101 Priciest $253

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 MRI, brain (no contrast) is about $265 (about 1.1× the $244 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $253, or about $1,192 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	$153 - $1,566	63%
Blue Cross Blue Shieldmajor	$245 - $2,766	101%
Aetnamajor	$245 - $3,517	101%
Cignamajor	$891	366%
Humanamajor	$158 - $245	65%
Ambetter (Centene)	$635	260%
Amerigroup	$167	69%
AvMed	$2,013	826%
HealthPartners	$1,283	526%
Simply Healthcare	$162 - $1,642	66%
WellCare	$161 - $257	66%
+ 9 smaller / regional plans	$153 - $1,350

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 1,192), 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: 70551.

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 70551.
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: MRI, brain (no contrast) at other FL hospitals

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