CMS Price Transparency Data

X-ray, hip

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $91
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Physicians Regional Medical Center - Pine Ridge is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $211 (237%)
Insurance Median: $91 (102%)
Cash: $211 (237% of Medicare)
Ins. Median: $91 (102% 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 40%
Medicaid / KanCare $36 - $39 40%
UnitedHealthcare $36 - $357 40%
Humana $37 - $89 42%
Integral Health $37 42%
Wellcare $37 42%
Magellan $38 43%
Simply Healthcare Plan $38 43%
Amerigroup $39 44%
Prestige Health $41 46%
Occunet $57 - $227 64%
Prime Health Work Comp Fl $61 69%
Rockport $61 69%
Florida Workers Compensation $63 71%
Tricare $78 - $86 88%
Aetna $80 - $623 90%
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 93%
Node Wellcare Mcr Adv $84 - $94 94%
Node Us Dept Of Labor $102 - $114 115%
Florida State Auto Insurance $164 - $182 184%
Self Pay $169 - $225 190%
Ambetter / Centene $209 - $232 235%
Simply Healthcare $291 327%
Cigna $292 - $324 328%
Avmed $357 402%
Community Health Partners $421 - $468 474%

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