CMS Price Transparency Data

X-ray, foot

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $89
  • Cash Discount Price: $476
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Physicians Regional Medical Center - Pine Ridge is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $476. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$476

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $476 (535%)
Insurance Median: $89 (100%)
Cash: $476 (535% of Medicare)
Ins. Median: $89 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $36 - $53 40%
Medicaid / KanCare $36 - $59 40%
UnitedHealthcare $36 - $648 40%
Humana $37 - $89 42%
Integral Health $37 - $56 42%
Wellcare $37 - $56 42%
Magellan $38 - $57 43%
Simply Healthcare Plan $38 - $57 43%
Amerigroup $39 - $58 44%
Occunet $40 - $227 45%
Prestige Health $41 - $62 46%
Prime Health Work Comp Fl $44 49%
Rockport $44 49%
Florida Workers Compensation $45 51%
Aetna $69 - $1,777 78%
Tricare $78 - $86 88%
Blue Cross Blue Shield $80 - $735 90%
Medicare (plans) $80 - $89 90%
Node Champva $82 - $91 92%
Node Non Par Hospice Agree $82 - $91 92%
Node Va $82 - $91 92%
Freedom Optimum $83 - $92 93%
Veterans Eval Services $83 - $166 93%
Node Wellcare Mcr Adv $84 - $94 94%
Node Us Dept Of Labor $102 - $114 115%
Florida State Auto Insurance $164 - $182 184%
Ambetter / Centene $209 - $232 235%
Cigna $292 - $324 328%
Self Pay $293 - $642 330%
Community Health Partners $421 - $468 474%
Simply Healthcare $504 - $829 567%
Avmed $618 - $1,017 695%

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