CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $128
  • Cash Discount Price: $1,092
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Physicians Regional Medical Center - Pine Ridge is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$1,092

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,092 (1022%)
Insurance Median: $128 (120%)
Cash: $1,092 (1022% of Medicare)
Ins. Median: $128 (120% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $101 95%
Tricare $104 97%
Childrens Medical Services $105 98%
Medicaid / KanCare $105 - $116 98%
UnitedHealthcare $105 - $1,174 98%
Aetna $107 - $3,222 100%
Blue Cross Blue Shield $107 - $821 100%
Humana $107 - $108 100%
Medicare (plans) $107 100%
Node Champva $109 102%
Node Non Par Hospice Agree $109 102%
Node Va $109 102%
Freedom Optimum $111 104%
Integral Health $111 104%
Wellcare $111 104%
Node Wellcare Mcr Adv $112 105%
Simply Healthcare Plan $112 105%
Magellan $113 106%
Amerigroup $115 108%
Occunet $119 - $273 111%
Prestige Health $122 114%
Prime Health Work Comp Fl $128 120%
Rockport $128 120%
Florida Workers Compensation $132 124%
Node Us Dept Of Labor $136 127%
Florida State Auto Insurance $218 204%
Ambetter / Centene $278 260%
Cigna $392 367%
Community Health Partners $562 526%
Self Pay $873 - $1,165 817%
Simply Healthcare $1,504 1408%
Avmed $1,844 1726%

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