CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $110
  • Cash Discount Price: $572
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Physicians Regional Medical Center - Pine Ridge is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $572. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$572

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $572 (536%)
Insurance Median: $110 (103%)
Cash: $572 (536% of Medicare)
Ins. Median: $110 (103% 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
Childrens Medical Services $70 66%
Medicaid / KanCare $70 - $77 66%
UnitedHealthcare $70 - $615 66%
Humana $72 - $107 67%
Integral Health $73 68%
Wellcare $73 68%
Simply Healthcare Plan $74 69%
Magellan $75 70%
Amerigroup $76 71%
Prestige Health $81 76%
Occunet $90 - $273 84%
Prime Health Work Comp Fl $97 91%
Rockport $97 91%
Florida Workers Compensation $100 94%
Veterans Eval Services $100 94%
Tricare $104 97%
Aetna $107 - $1,688 100%
Blue Cross Blue Shield $107 - $821 100%
Medicare (plans) $107 100%
Node Champva $109 102%
Node Non Par Hospice Agree $109 102%
Node Va $109 102%
Freedom Optimum $111 104%
Node Wellcare Mcr Adv $112 105%
Node Us Dept Of Labor $136 127%
Florida State Auto Insurance $218 204%
Ambetter / Centene $278 260%
Cigna $392 367%
Self Pay $457 - $610 428%
Community Health Partners $562 526%
Simply Healthcare $788 738%
Avmed $966 904%

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