CMS Price Transparency Data

Ultrasound, pelvis

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$113

about 1.1× the $107 Medicare rate · typically $113–$172

modeled estimate · not a bill or quote

What this hospital charges insurers

$113

About the fair price

1.1× Medicare

Medicare pays $107 Fair price $113 This hospital $113 Cash price $815 Hospital's list price $3,621

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 $45 Priciest $113

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 Ultrasound, pelvis is about $113 (about 1.1× the $107 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $113, or about $815 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	$105 - $876	98%
Blue Cross Blue Shieldmajor	$107 - $821	100%
Aetnamajor	$107 - $2,404	100%
Cignamajor	$392	367%
Humanamajor	$107 - $108	100%
Ambetter (Centene)	$278	260%
Amerigroup	$115	108%
AvMed	$1,376	1288%
HealthPartners	$562	526%
Simply Healthcare	$112 - $1,122	105%
WellCare	$111 - $112	104%
+ 9 smaller / regional plans	$105 - $273

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 815), 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: 76856.

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 76856.
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: Ultrasound, pelvis at other FL hospitals

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