Does Physicians Regional Medical Center - Pine Ridge have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Physicians Regional Medical Center - Pine Ridge. In a medical emergency, call 911.

Where is Physicians Regional Medical Center - Pine Ridge?

6101 Pine Ridge Road, Naples, FL 34119, in Collier County, Florida.

What is the phone number of Physicians Regional Medical Center - Pine Ridge?

(239) 304-5145, as listed by Medicare (CMS).

What is the Medicare star rating of Physicians Regional Medical Center - Pine Ridge?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Physicians Regional Medical Center - Pine Ridge

Quick answers

Does Physicians Regional Medical Center - Pine Ridge have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Physicians Regional Medical Center - Pine Ridge. In a medical emergency, call 911.
Where is Physicians Regional Medical Center - Pine Ridge?: 6101 Pine Ridge Road, Naples, FL 34119, in Collier County, Florida.
What is the phone number of Physicians Regional Medical Center - Pine Ridge?: (239) 304-5145, as listed by Medicare (CMS).
What is the Medicare star rating of Physicians Regional Medical Center - Pine Ridge?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Bariatric Weight Loss
Cancer Care
Colorectal Care
Critical Care Medicine
Dermatology
Digestive Health
Endocrinology
Gastroenterology
Heart Care
Infectious Disease Care
Kidney Disorders
Neurology
Orthopedic Services
Pain Management
Pulmonology
Radiology
Rheumatology
Stroke Care
Surgical Services
Urology
Vein Care Center
Women's Health
Wound Care and Hyperbaric Medicine

Programs and centers^[4]

Robotic surgery center
Heart center (open heart and structural heart surgery)

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Recognition^[4]

Accredited by The Joint Commission

Doctors and clinicians (714)

714 doctors and other clinicians list Physicians Regional Medical Center - Pine Ridge as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (714)

Aaron J. Simonetti, MDInternal Medicine
Abby Siebert, CNACertified Registered Nurse Anesthetist (CRNA)
Adam E. Sienkiewicz, MDEmergency Medicine
Adam Olmsted, MDDiagnostic Radiology
Adam P. Skipper, DOSports Medicine
Adem Kose, CNACertified Registered Nurse Anesthetist (CRNA)
Afshin A. Khaiser, MDGastroenterology
Ahmet S. Gursoy, MDInterventional Cardiology
Alain Alvarez, MDRheumatology
Alan Pratt, MDDiagnostic Radiology
Alan S. GalbutInternal Medicine
Alberto F. Vera, MDInternal Medicine
Alberto R. Concepcion, MDInternal Medicine
Aldene A. McKenzie, DOHospitalist
Aldo R. Beretta, MDOrthopedic Surgery
Alejandro D. Perez Trepichio, MDInternal Medicine
Aleksandra Granath, MDRheumatology
Alerrya Sams, CNACertified Registered Nurse Anesthetist (CRNA)
Alexander Damron, MDPathology
Alexander T. Owens, DOFamily Practice
Alexandra Grace, DOGastroenterology
Alexandre M. Rosen, MDUrology
Alfredo Pinero-Hernandez, MDDiagnostic Radiology
Alicia Sloan, PAPhysician Assistant

And 690 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Naples Community Hospital9.3 mi · Naples, FL · Acute Care Hospital
Gulf Coast Medical Center Lee Health21 mi · Fort Myers, FL · Acute Care Hospital
HCA Florida Lehigh Hospital24 mi · Lehigh Acres, FL · Acute Care Hospital
Lee Memorial Hospital27 mi · Fort Myers, FL · Acute Care Hospital
Cape Coral Hospital29 mi · Cape Coral, FL · Acute Care Hospital

Other hospitals nearby

Rehabilitation Hospital of Naples2.1 mi · Naples, FL · Inpatient Rehabilitation Hospital
Axiom Behavioral Health at Naples15 mi · Naples, FL · Psychiatric Hospital
Park Royal Hospital21 mi · Fort Myers, FL · Psychiatric Hospital
Rehabilitation Hospital of Fort Myers21 mi · Fort Myers, FL · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Adviniacare at Naples3.6 mi · Naples, FL · 2 of 5 stars
Solaris Senior Living North Naples3.8 mi · Naples, FL · 3 of 5 stars
Solaris Healthcare Imperial5.5 mi · Naples, FL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Avow Hospice Inc5.9 mi · Naples, FL · 4 of 5 stars
Hope Hospice and Community Services Inc24 mi · Fort Myers, FL · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Better Choice Home Health0.0 mi · Naples, FL
Loving Care Home Health Agency, Inc0.0 mi · Naples, FL · 4 of 5 stars
West Coast Home Health Care Agency Inc3.3 mi · Naples, FL

All home health agencies in the state →

Dialysis facilities

Pure Life Renal of Naples, LLC3.3 mi · Naples, FL · 2 of 5 stars
Florida DEC LLC5.2 mi · Naples, FL
USRC Uptown Naples Dialysis5.2 mi · Naples, FL · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Continuum Surgery Center of Naples, Inc.0.0 mi · Naples, FL
Nasa Surgery Center of Naples, LLC0.0 mi · Naples, FL
North Naples Surgery Center0.0 mi · Naples, FL

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Healthcare Network3.3 mi · Naples, FL · Community health center
Healthcare Network Badra Pediatrics3.4 mi · Naples, FL · Community health center
Healthcare Network North (Veterans Park)4.1 mi · Naples, FL · Community health center

Clinics and urgent care

DR4U, Inc0.0 mi · Naples, FL · Urgent care center
King's Medical LLC3.3 mi · Naples, FL · Urgent care center
Clinic La Vida Is Beautiful LLC5.2 mi · Naples, FL · Urgent care center

Pharmacies

Collier Hma Physician Management, LLC0.0 mi · Naples, FL · Pharmacy
Pebblebrook Inc0.0 mi · Naples, FL · Community/retail pharmacy
Publix Super Markets Inc0.0 mi · Naples, FL · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Aston Gardens at Pelican Marsh3.3 mi · Naples, FL
Bayshore Memory Care3.3 mi · Naples, FL
Carlisle Naples3.3 mi · Naples, FL
North Haven Senior Living3.3 mi · Naples, FL

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Physicians Regional Medical Center - Pine Ridge reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	71%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	51%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	66%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	2,665Response rate: 27%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.617No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.124Better than the national benchmark
Surgical site infections after colon surgery	0.328No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.225No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.096Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	11.3%
Deaths within 30 days: heart failure patients	10.3%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	8.7%
Deaths within 30 days: stroke patients	14.3%
Deaths within 30 days: coronary bypass surgery (CABG)	2.4%
Serious complications (patient safety indicator PSI-90)	0.91No different from the national rate
Complications after hip or knee replacement	4.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.6%
Readmitted within 30 days: heart failure	22.8%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	21.7%
Readmitted within 30 days: coronary bypass surgery	12.5%
Readmitted within 30 days: hip or knee replacement	6.1%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	165 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	39%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Naples Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Physicians Regional Medical Center - Pine Ridge lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$2,543.92	$534.22	$69.99 – $2,543.92
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — Aetna: $2,543.92 Aetna — Aetna ASA: $2,543.92 Aetna — Aetna First Health: $1,689.16 Aetna — Aetna INTL Passport: $1,396.61 Aetna — NODE Aetna MCR ADV: $280.50 Amerigroup — Amerigroup Medicaid FL: $125.63 AvMed — AvMed: $966.69 Blue Cross Blue Shield — BCBS FL BSL: $1,172 Blue Cross Blue Shield — BCBS FL HMO: $1,064 Blue Cross Blue Shield — BCBS FL MBN: $989
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$2,543.92	$610.54	$610.54 – $1,689.16
Emergency room visit (moderate): rates for 5 insurance plans Aetna — Aetna First Health: $1,689.16 Aetna — Aetna INTL Passport: $1,396.61 AvMed — AvMed: $966.69 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $615.63 Self Pay — Self Pay: $610.54
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$4,615.44	$969.24	$119.72 – $5,320
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — Aetna: $2,918 Aetna — Aetna ASA: $3,210 Aetna — Aetna First Health: $3,064.65 Aetna — Aetna INTL Passport: $2,533.88 Aetna — NODE Aetna MCR ADV: $428.77 Amerigroup — Amerigroup Medicaid FL: $125.63 AvMed — AvMed: $1,753.87 Blue Cross Blue Shield — BCBS FL BSL: $3,081 Blue Cross Blue Shield — BCBS FL HMO: $2,803 Blue Cross Blue Shield — BCBS FL MBN: $2,605
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$4,615.44	$1,107.71	$1,107.71 – $3,064.65
Emergency room visit (moderately high): rates for 5 insurance plans Aetna — Aetna First Health: $3,064.65 Aetna — Aetna INTL Passport: $2,533.88 AvMed — AvMed: $1,753.87 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,116.94 Self Pay — Self Pay: $1,107.71
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$5,385.27	$1,130.91	$173.81 – $5,320
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — Aetna: $2,918 Aetna — Aetna ASA: $3,210 Aetna — Aetna First Health: $3,575.82 Aetna — Aetna INTL Passport: $2,956.51 Aetna — NODE Aetna MCR ADV: $611.95 Amerigroup — Amerigroup Medicaid FL: $125.63 AvMed — AvMed: $2,046.40 Blue Cross Blue Shield — BCBS FL BSL: $3,081 Blue Cross Blue Shield — BCBS FL HMO: $2,803 Blue Cross Blue Shield — BCBS FL MBN: $2,605
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$5,385.27	$1,292.46	$1,292.46 – $3,575.82
Emergency room visit (high): rates for 5 insurance plans Aetna — Aetna First Health: $3,575.82 Aetna — Aetna INTL Passport: $2,956.51 AvMed — AvMed: $2,046.40 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,303.24 Self Pay — Self Pay: $1,292.46

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$130.64	$27.43	$7.61 – $130.64
Basic metabolic panel (blood test): 10 of 55 insurance plan rates Aetna — Aetna: $30.96 Aetna — Aetna ASA: $34.10 Aetna — Aetna First Health: $86.74 Aetna — Aetna INTL Passport: $71.72 Aetna — NODE Aetna MCR ADV: $8.29 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $49.64 Blue Cross Blue Shield — BCBS FL BSL: $130.64 Blue Cross Blue Shield — BCBS FL HMO: $130.64 Blue Cross Blue Shield — BCBS FL MBN: $130.64
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$130.64	$31.35	$31.35 – $86.74
Basic metabolic panel (blood test): rates for 5 insurance plans Aetna — Aetna First Health: $86.74 Aetna — Aetna INTL Passport: $71.72 AvMed — AvMed: $49.64 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $31.61 Self Pay — Self Pay: $31.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$170.29	$35.76	$9.50 – $170.29
Comprehensive metabolic panel (blood test): 10 of 55 insurance plan rates Aetna — Aetna: $40.36 Aetna — Aetna ASA: $44.45 Aetna — Aetna First Health: $113.07 Aetna — Aetna INTL Passport: $93.49 Aetna — NODE Aetna MCR ADV: $10.35 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $64.71 Blue Cross Blue Shield — BCBS FL BSL: $170.29 Blue Cross Blue Shield — BCBS FL HMO: $170.29 Blue Cross Blue Shield — BCBS FL MBN: $170.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$170.29	$40.87	$40.87 – $113.07
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Aetna — Aetna First Health: $113.07 Aetna — Aetna INTL Passport: $93.49 AvMed — AvMed: $64.71 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $41.21 Self Pay — Self Pay: $40.87
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$187.79	$39.44	$12.05 – $187.79
Cholesterol panel (lipid panel): 10 of 55 insurance plan rates Aetna — Aetna: $44.51 Aetna — Aetna ASA: $49.01 Aetna — Aetna First Health: $124.69 Aetna — Aetna INTL Passport: $103.10 Aetna — NODE Aetna MCR ADV: $13.12 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $71.36 Blue Cross Blue Shield — BCBS FL BSL: $187.79 Blue Cross Blue Shield — BCBS FL HMO: $187.79 Blue Cross Blue Shield — BCBS FL MBN: $187.79
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q92145 LIPID PANEL	$51.32	$10.78	$9.24 – $68.96
Cholesterol panel (lipid panel): 10 of 55 insurance plan rates Aetna — Aetna: $12.16 Aetna — Aetna ASA: $13.39 Aetna — Aetna First Health: $34.08 Aetna — Aetna INTL Passport: $28.17 Aetna — NODE Aetna MCR ADV: $13.12 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $19.50 Blue Cross Blue Shield — BCBS FL BSL: $51.32 Blue Cross Blue Shield — BCBS FL HMO: $51.32 Blue Cross Blue Shield — BCBS FL MBN: $51.32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q94220 LIPID PNL	$31.23	$6.56	$5.62 – $68.96
Cholesterol panel (lipid panel): 10 of 55 insurance plan rates Aetna — Aetna: $7.40 Aetna — Aetna ASA: $8.15 Aetna — Aetna First Health: $20.74 Aetna — Aetna INTL Passport: $17.15 Aetna — NODE Aetna MCR ADV: $13.12 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $11.87 Blue Cross Blue Shield — BCBS FL BSL: $31.23 Blue Cross Blue Shield — BCBS FL HMO: $31.23 Blue Cross Blue Shield — BCBS FL MBN: $31.23
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$824.64	$173.17	$7.81 – $638
Kidney function panel: 10 of 55 insurance plan rates Aetna — Aetna: $195.44 Aetna — Aetna ASA: $215.23 Aetna — Aetna First Health: $547.56 Aetna — Aetna INTL Passport: $452.73 Aetna — NODE Aetna MCR ADV: $8.51 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $313.36 Blue Cross Blue Shield — BCBS FL BSL: $369 Blue Cross Blue Shield — BCBS FL HMO: $338 Blue Cross Blue Shield — BCBS FL MBN: $315
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$824.64	$197.91	$197.91 – $547.56
Kidney function panel: rates for 5 insurance plans Aetna — Aetna First Health: $547.56 Aetna — Aetna INTL Passport: $452.73 AvMed — AvMed: $313.36 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $199.56 Self Pay — Self Pay: $197.91
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$444.40	$93.32	$7.35 – $444.40
Liver function panel: 10 of 55 insurance plan rates Aetna — Aetna: $105.32 Aetna — Aetna ASA: $115.99 Aetna — Aetna First Health: $295.08 Aetna — Aetna INTL Passport: $243.98 Aetna — NODE Aetna MCR ADV: $8.01 Amerigroup — Amerigroup Medicaid FL: $4.96 AvMed — AvMed: $168.87 Blue Cross Blue Shield — BCBS FL BSL: $369 Blue Cross Blue Shield — BCBS FL HMO: $338 Blue Cross Blue Shield — BCBS FL MBN: $315
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$444.40	$106.66	$106.66 – $295.08
Liver function panel: rates for 5 insurance plans Aetna — Aetna First Health: $295.08 Aetna — Aetna INTL Passport: $243.98 AvMed — AvMed: $168.87 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $107.54 Self Pay — Self Pay: $106.66
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$66.48	$13.96	$2.85 – $66.48
Urine test (automated, with microscope): 10 of 55 insurance plan rates Aetna — Aetna: $15.76 Aetna — Aetna ASA: $17.35 Aetna — Aetna First Health: $44.14 Aetna — Aetna INTL Passport: $36.50 Aetna — NODE Aetna MCR ADV: $3.11 Amerigroup — Amerigroup Medicaid FL: $1.64 AvMed — AvMed: $25.26 Blue Cross Blue Shield — BCBS FL BSL: $66.48 Blue Cross Blue Shield — BCBS FL HMO: $66.48 Blue Cross Blue Shield — BCBS FL MBN: $66.48
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$66.48	$15.96	$15.96 – $44.14
Urine test (automated, with microscope): rates for 5 insurance plans Aetna — Aetna First Health: $44.14 Aetna — Aetna INTL Passport: $36.50 AvMed — AvMed: $25.26 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $16.09 Self Pay — Self Pay: $15.96
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$69.98	$14.70	$2.03 – $69.98
Urine test (automated, without microscope): 10 of 55 insurance plan rates Aetna — Aetna: $16.59 Aetna — Aetna ASA: $18.26 Aetna — Aetna First Health: $46.47 Aetna — Aetna INTL Passport: $38.42 Aetna — NODE Aetna MCR ADV: $2.20 Amerigroup — Amerigroup Medicaid FL: $1.64 AvMed — AvMed: $26.59 Blue Cross Blue Shield — BCBS FL BSL: $69.98 Blue Cross Blue Shield — BCBS FL HMO: $69.98 Blue Cross Blue Shield — BCBS FL MBN: $69.98
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$69.98	$16.80	$16.80 – $46.47
Urine test (automated, without microscope): rates for 5 insurance plans Aetna — Aetna First Health: $46.47 Aetna — Aetna INTL Passport: $38.42 AvMed — AvMed: $26.59 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $16.94 Self Pay — Self Pay: $16.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL	$228.61	$48.01	$16.55 – $228.61
PSA (prostate specific antigen) blood test: 10 of 55 insurance plan rates Aetna — Aetna: $54.18 Aetna — Aetna ASA: $59.67 Aetna — Aetna First Health: $151.80 Aetna — Aetna INTL Passport: $125.51 Aetna — NODE Aetna MCR ADV: $18.02 Amerigroup — Amerigroup Medicaid FL: $6.64 AvMed — AvMed: $86.87 Blue Cross Blue Shield — BCBS FL BSL: $228.61 Blue Cross Blue Shield — BCBS FL HMO: $228.61 Blue Cross Blue Shield — BCBS FL MBN: $228.61
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL	$228.61	$54.87	$54.87 – $151.80
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Aetna — Aetna First Health: $151.80 Aetna — Aetna INTL Passport: $125.51 AvMed — AvMed: $86.87 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $55.32 Self Pay — Self Pay: $54.87
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM TSH	$237.95	$49.97	$15.12 – $237.95
Thyroid stimulating hormone (TSH) test: 10 of 55 insurance plan rates Aetna — Aetna: $56.39 Aetna — Aetna ASA: $62.10 Aetna — Aetna First Health: $158 Aetna — Aetna INTL Passport: $130.63 Aetna — NODE Aetna MCR ADV: $16.46 Amerigroup — Amerigroup Medicaid FL: $7.26 AvMed — AvMed: $90.42 Blue Cross Blue Shield — BCBS FL BSL: $237.95 Blue Cross Blue Shield — BCBS FL HMO: $237.95 Blue Cross Blue Shield — BCBS FL MBN: $237.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q899 TSH IA	$78.39	$16.46	$14.11 – $86.52
Thyroid stimulating hormone (TSH) test: 10 of 55 insurance plan rates Aetna — Aetna: $18.58 Aetna — Aetna ASA: $20.46 Aetna — Aetna First Health: $52.05 Aetna — Aetna INTL Passport: $43.04 Aetna — NODE Aetna MCR ADV: $16.46 Amerigroup — Amerigroup Medicaid FL: $7.26 AvMed — AvMed: $29.79 Blue Cross Blue Shield — BCBS FL BSL: $78.39 Blue Cross Blue Shield — BCBS FL HMO: $78.39 Blue Cross Blue Shield — BCBS FL MBN: $78.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q36127TSH W/RF FR T4	$78.39	$16.46	$14.11 – $86.52
Thyroid stimulating hormone (TSH) test: 10 of 55 insurance plan rates Aetna — Aetna: $18.58 Aetna — Aetna ASA: $20.46 Aetna — Aetna First Health: $52.05 Aetna — Aetna INTL Passport: $43.04 Aetna — NODE Aetna MCR ADV: $16.46 Amerigroup — Amerigroup Medicaid FL: $7.26 AvMed — AvMed: $29.79 Blue Cross Blue Shield — BCBS FL BSL: $78.39 Blue Cross Blue Shield — BCBS FL HMO: $78.39 Blue Cross Blue Shield — BCBS FL MBN: $78.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$128.30	$26.94	$6.99 – $128.30
Complete blood count (CBC) with differential: 10 of 55 insurance plan rates Aetna — Aetna: $30.41 Aetna — Aetna ASA: $33.49 Aetna — Aetna First Health: $85.19 Aetna — Aetna INTL Passport: $70.44 Aetna — NODE Aetna MCR ADV: $7.61 Amerigroup — Amerigroup Medicaid FL: $3.24 AvMed — AvMed: $48.75 Blue Cross Blue Shield — BCBS FL BSL: $128.30 Blue Cross Blue Shield — BCBS FL HMO: $128.30 Blue Cross Blue Shield — BCBS FL MBN: $128.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$128.30	$30.79	$30.79 – $85.19
Complete blood count (CBC) with differential: rates for 5 insurance plans Aetna — Aetna First Health: $85.19 Aetna — Aetna INTL Passport: $70.44 AvMed — AvMed: $48.75 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $31.05 Self Pay — Self Pay: $30.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT	$337.09	$70.79	$5.82 – $337.09
Complete blood count (CBC), automated: 10 of 55 insurance plan rates Aetna — Aetna: $79.89 Aetna — Aetna ASA: $87.98 Aetna — Aetna First Health: $223.83 Aetna — Aetna INTL Passport: $185.06 Aetna — NODE Aetna MCR ADV: $6.34 Amerigroup — Amerigroup Medicaid FL: $3.24 AvMed — AvMed: $128.09 Blue Cross Blue Shield — BCBS FL BSL: $337.09 Blue Cross Blue Shield — BCBS FL HMO: $337.09 Blue Cross Blue Shield — BCBS FL MBN: $315
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT	$337.09	$80.90	$80.90 – $223.83
Complete blood count (CBC), automated: rates for 5 insurance plans Aetna — Aetna First Health: $223.83 Aetna — Aetna INTL Passport: $185.06 AvMed — AvMed: $128.09 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $81.58 Self Pay — Self Pay: $80.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$274.10	$57.56	$3.60 – $274.10
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — Aetna: $64.96 Aetna — Aetna ASA: $71.54 Aetna — Aetna First Health: $182 Aetna — Aetna INTL Passport: $150.48 Aetna — NODE Aetna MCR ADV: $4.20 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $104.16 Blue Cross Blue Shield — BCBS FL BSL: $274.10 Blue Cross Blue Shield — BCBS FL HMO: $274.10 Blue Cross Blue Shield — BCBS FL MBN: $274.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q8847 PROTH TM W/INR	$20.01	$4.20	$3.60 – $22.09
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — Aetna: $4.74 Aetna — Aetna ASA: $5.22 Aetna — Aetna First Health: $13.29 Aetna — Aetna INTL Passport: $10.99 Aetna — NODE Aetna MCR ADV: $4.20 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $7.60 Blue Cross Blue Shield — BCBS FL BSL: $20.01 Blue Cross Blue Shield — BCBS FL HMO: $20.01 Blue Cross Blue Shield — BCBS FL MBN: $20.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q8922 PROTHROMBIN TI	$6.88	$1.44	$1.24 – $22.09
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — Aetna: $1.63 Aetna — Aetna ASA: $1.80 Aetna — Aetna First Health: $4.57 Aetna — Aetna INTL Passport: $3.78 Aetna — NODE Aetna MCR ADV: $4.20 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $2.61 Blue Cross Blue Shield — BCBS FL BSL: $6.88 Blue Cross Blue Shield — BCBS FL HMO: $6.88 Blue Cross Blue Shield — BCBS FL MBN: $6.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT	$312.60	$65.65	$5.41 – $312.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — Aetna: $74.09 Aetna — Aetna ASA: $81.59 Aetna — Aetna First Health: $207.57 Aetna — Aetna INTL Passport: $171.62 Aetna — NODE Aetna MCR ADV: $5.89 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $118.79 Blue Cross Blue Shield — BCBS FL BSL: $312.60 Blue Cross Blue Shield — BCBS FL HMO: $312.60 Blue Cross Blue Shield — BCBS FL MBN: $312.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q17408 PTT-LA CLTDET	$15.16	$3.18	$2.73 – $30.95
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — Aetna: $3.59 Aetna — Aetna ASA: $3.96 Aetna — Aetna First Health: $10.07 Aetna — Aetna INTL Passport: $8.32 Aetna — NODE Aetna MCR ADV: $5.89 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $5.76 Blue Cross Blue Shield — BCBS FL BSL: $15.16 Blue Cross Blue Shield — BCBS FL HMO: $15.16 Blue Cross Blue Shield — BCBS FL MBN: $15.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Q763 PTT ACT PHT/OPT	$28.04	$5.89	$5.05 – $30.95
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — Aetna: $6.65 Aetna — Aetna ASA: $7.32 Aetna — Aetna First Health: $18.62 Aetna — Aetna INTL Passport: $15.39 Aetna — NODE Aetna MCR ADV: $5.89 Amerigroup — Amerigroup Medicaid FL: $2.43 AvMed — AvMed: $10.66 Blue Cross Blue Shield — BCBS FL BSL: $28.04 Blue Cross Blue Shield — BCBS FL HMO: $28.04 Blue Cross Blue Shield — BCBS FL MBN: $28.04

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-HEAD WO	$6,857.27	$1,440.03	$100.38 – $4,553.23
CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,530 Aetna — Aetna ASA: $1,683 Aetna — Aetna First Health: $4,553.23 Aetna — Aetna INTL Passport: $3,764.64 Aetna — NODE Aetna MCR ADV: $107.42 Amerigroup — Amerigroup Medicaid FL: $225.52 AvMed — AvMed: $2,605.76 Blue Cross Blue Shield — BCBS FL BSL: $1,480 Blue Cross Blue Shield — BCBS FL HMO: $1,348 Blue Cross Blue Shield — BCBS FL MBN: $1,251
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD WO	$6,857.27	$1,645.74	$1,645.74 – $4,553.23
CT scan of the head or brain, without contrast: rates for 5 insurance plans Aetna — Aetna First Health: $4,553.23 Aetna — Aetna INTL Passport: $3,764.64 AvMed — AvMed: $2,605.76 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,659.46 Self Pay — Self Pay: $1,645.74
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$11,655.84	$2,447.73	$336.53 – $7,739.48
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,968 Aetna — Aetna ASA: $2,165 Aetna — Aetna First Health: $7,739.48 Aetna — Aetna INTL Passport: $6,399.06 Aetna — NODE Aetna MCR ADV: $358.49 Amerigroup — Amerigroup Medicaid FL: $277.55 AvMed — AvMed: $4,429.22 Blue Cross Blue Shield — BCBS FL BSL: $1,603 Blue Cross Blue Shield — BCBS FL HMO: $1,457 Blue Cross Blue Shield — BCBS FL MBN: $1,354
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$11,655.84	$2,797.40	$2,797.40 – $7,739.48
MRI of the brain, before and after contrast: rates for 5 insurance plans Aetna — Aetna First Health: $7,739.48 Aetna — Aetna INTL Passport: $6,399.06 AvMed — AvMed: $4,429.22 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,820.71 Self Pay — Self Pay: $2,797.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$959.95	$201.59	$36 – $691
Chest X-ray, 2 views: 10 of 55 insurance plan rates Aetna — Aetna: $62.38 Aetna — Aetna ASA: $68.55 Aetna — Aetna First Health: $637.41 Aetna — Aetna INTL Passport: $527.01 Aetna — NODE Aetna MCR ADV: $89.43 Amerigroup — Amerigroup Medicaid FL: $38.79 AvMed — AvMed: $364.78 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$959.95	$230.39	$230.39 – $637.41
Chest X-ray, 2 views: rates for 5 insurance plans Aetna — Aetna First Health: $637.41 Aetna — Aetna INTL Passport: $527.01 AvMed — AvMed: $364.78 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $232.31 Self Pay — Self Pay: $230.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FY In the file: CH-CHEST 2V CR	$959.95	$201.59	$36 – $691
Chest X-ray, 2 views: 10 of 55 insurance plan rates Aetna — Aetna: $62.38 Aetna — Aetna ASA: $68.55 Aetna — Aetna First Health: $637.41 Aetna — Aetna INTL Passport: $527.01 Aetna — NODE Aetna MCR ADV: $80.48 Amerigroup — Amerigroup Medicaid FL: $38.79 AvMed — AvMed: $364.78 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,980.55	$415.92	$60.30 – $1,315.09
X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates Aetna — Aetna: $104.67 Aetna — Aetna ASA: $115.02 Aetna — Aetna First Health: $1,315.09 Aetna — Aetna INTL Passport: $1,087.32 Aetna — NODE Aetna MCR ADV: $107.42 Amerigroup — Amerigroup Medicaid FL: $38.79 AvMed — AvMed: $752.61 Blue Cross Blue Shield — BCBS FL BSL: $426 Blue Cross Blue Shield — BCBS FL HMO: $388 Blue Cross Blue Shield — BCBS FL MBN: $360
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,980.55	$475.33	$475.33 – $1,315.09
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Aetna — Aetna First Health: $1,315.09 Aetna — Aetna INTL Passport: $1,087.32 AvMed — AvMed: $752.61 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $479.29 Self Pay — Self Pay: $475.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$6,205.25	$1,303.10	$227.81 – $4,120.29
MRI of the lower back (lumbar spine), without contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,968 Aetna — Aetna ASA: $2,165 Aetna — Aetna First Health: $4,120.29 Aetna — Aetna INTL Passport: $3,406.68 Aetna — NODE Aetna MCR ADV: $245.18 Amerigroup — Amerigroup Medicaid FL: $166.90 AvMed — AvMed: $2,358 Blue Cross Blue Shield — BCBS FL BSL: $1,603 Blue Cross Blue Shield — BCBS FL HMO: $1,457 Blue Cross Blue Shield — BCBS FL MBN: $1,354
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$6,205.25	$1,489.26	$1,489.26 – $4,120.29
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Aetna — Aetna First Health: $4,120.29 Aetna — Aetna INTL Passport: $3,406.68 AvMed — AvMed: $2,358 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,501.67 Self Pay — Self Pay: $1,489.26
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W	$7,688.91	$1,614.67	$167.57 – $5,105.44
CT scan of the pelvis, with contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,530 Aetna — Aetna ASA: $1,683 Aetna — Aetna First Health: $5,105.44 Aetna — Aetna INTL Passport: $4,221.21 Aetna — NODE Aetna MCR ADV: $180.24 Amerigroup — Amerigroup Medicaid FL: $225.52 AvMed — AvMed: $2,921.79 Blue Cross Blue Shield — BCBS FL BSL: $1,480 Blue Cross Blue Shield — BCBS FL HMO: $1,348 Blue Cross Blue Shield — BCBS FL MBN: $1,251
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W	$7,688.91	$1,845.34	$1,845.34 – $5,105.44
CT scan of the pelvis, with contrast: rates for 5 insurance plans Aetna — Aetna First Health: $5,105.44 Aetna — Aetna INTL Passport: $4,221.21 AvMed — AvMed: $2,921.79 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,860.72 Self Pay — Self Pay: $1,845.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$5,217.31	$1,095.64	$227.98 – $3,464.29
MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,968 Aetna — Aetna ASA: $2,165 Aetna — Aetna First Health: $3,464.29 Aetna — Aetna INTL Passport: $2,864.30 Aetna — NODE Aetna MCR ADV: $245.18 Amerigroup — Amerigroup Medicaid FL: $166.90 AvMed — AvMed: $1,982.58 Blue Cross Blue Shield — BCBS FL BSL: $1,603 Blue Cross Blue Shield — BCBS FL HMO: $1,457 Blue Cross Blue Shield — BCBS FL MBN: $1,354
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$5,217.31	$1,252.15	$1,252.15 – $3,464.29
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans Aetna — Aetna First Health: $3,464.29 Aetna — Aetna INTL Passport: $2,864.30 AvMed — AvMed: $1,982.58 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,262.59 Self Pay — Self Pay: $1,252.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$17,584.65	$3,692.78	$336.19 – $11,676.21
CT scan of the abdomen and pelvis, with contrast: 10 of 55 insurance plan rates Aetna — Aetna: $1,530 Aetna — Aetna ASA: $1,683 Aetna — Aetna First Health: $11,676.21 Aetna — Aetna INTL Passport: $9,653.97 Aetna — NODE Aetna MCR ADV: $358.49 Amerigroup — Amerigroup Medicaid FL: $225.52 AvMed — AvMed: $6,682.17 Blue Cross Blue Shield — BCBS FL BSL: $1,480 Blue Cross Blue Shield — BCBS FL HMO: $1,348 Blue Cross Blue Shield — BCBS FL MBN: $1,251
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$17,584.65	$4,220.32	$4,220.32 – $11,676.21
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Aetna — Aetna First Health: $11,676.21 Aetna — Aetna INTL Passport: $9,653.97 AvMed — AvMed: $6,682.17 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $4,255.49 Self Pay — Self Pay: $4,220.32
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$4,852.22	$1,018.97	$100.55 – $3,221.87
Ultrasound of the abdomen, complete: 10 of 55 insurance plan rates Aetna — Aetna: $205.81 Aetna — Aetna ASA: $226.17 Aetna — Aetna First Health: $3,221.87 Aetna — Aetna INTL Passport: $2,663.87 Aetna — NODE Aetna MCR ADV: $107.42 Amerigroup — Amerigroup Medicaid FL: $114.76 AvMed — AvMed: $1,843.84 Blue Cross Blue Shield — BCBS FL BSL: $472 Blue Cross Blue Shield — BCBS FL HMO: $431 Blue Cross Blue Shield — BCBS FL MBN: $401
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$4,852.22	$1,164.53	$1,164.53 – $3,221.87
Ultrasound of the abdomen, complete: rates for 5 insurance plans Aetna — Aetna First Health: $3,221.87 Aetna — Aetna INTL Passport: $2,663.87 AvMed — AvMed: $1,843.84 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,174.24 Self Pay — Self Pay: $1,164.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$930.79	$195.47	$100.55 – $821
Pregnancy ultrasound (after the first trimester): 10 of 55 insurance plan rates Aetna — Aetna: $231.37 Aetna — Aetna ASA: $254.25 Aetna — Aetna First Health: $618.04 Aetna — Aetna INTL Passport: $511 Aetna — NODE Aetna MCR ADV: $107.42 Amerigroup — Amerigroup Medicaid FL: $68.48 AvMed — AvMed: $353.70 Blue Cross Blue Shield — BCBS FL BSL: $472 Blue Cross Blue Shield — BCBS FL HMO: $431 Blue Cross Blue Shield — BCBS FL MBN: $401
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$930.79	$223.39	$223.39 – $618.04
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Aetna — Aetna First Health: $618.04 Aetna — Aetna INTL Passport: $511 AvMed — AvMed: $353.70 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $225.25 Self Pay — Self Pay: $223.39
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$3,135.28	$658.41	$100.55 – $2,081.83
Transvaginal ultrasound: 10 of 55 insurance plan rates Aetna — Aetna: $226.10 Aetna — Aetna ASA: $248.46 Aetna — Aetna First Health: $2,081.83 Aetna — Aetna INTL Passport: $1,721.27 Aetna — NODE Aetna MCR ADV: $107.42 Amerigroup — Amerigroup Medicaid FL: $76.13 AvMed — AvMed: $1,191.41 Blue Cross Blue Shield — BCBS FL BSL: $472 Blue Cross Blue Shield — BCBS FL HMO: $431 Blue Cross Blue Shield — BCBS FL MBN: $401
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$3,135.28	$752.47	$752.47 – $2,081.83
Transvaginal ultrasound: rates for 5 insurance plans Aetna — Aetna First Health: $2,081.83 Aetna — Aetna INTL Passport: $1,721.27 AvMed — AvMed: $1,191.41 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $758.74 Self Pay — Self Pay: $752.47
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$763.99	$160.44	$80.31 – $691
Diagnostic mammogram, one breast: 10 of 55 insurance plan rates Aetna — Aetna: $233.14 Aetna — Aetna ASA: $256.20 Aetna — Aetna First Health: $507.29 Aetna — Aetna INTL Passport: $419.43 Aetna — NODE Aetna MCR ADV: $86.16 Amerigroup — Amerigroup Medicaid FL: $31.99 AvMed — AvMed: $290.32 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$763.99	$183.36	$183.36 – $507.29
Diagnostic mammogram, one breast: rates for 5 insurance plans Aetna — Aetna First Health: $507.29 Aetna — Aetna INTL Passport: $419.43 AvMed — AvMed: $290.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $184.89 Self Pay — Self Pay: $183.36
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$942.45	$197.91	$102.20 – $691
Diagnostic mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna: $296.59 Aetna — Aetna ASA: $325.92 Aetna — Aetna First Health: $625.79 Aetna — Aetna INTL Passport: $517.41 Aetna — NODE Aetna MCR ADV: $110.73 Amerigroup — Amerigroup Medicaid FL: $31.99 AvMed — AvMed: $358.13 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$942.45	$226.19	$226.19 – $625.79
Diagnostic mammogram, both breasts: rates for 5 insurance plans Aetna — Aetna First Health: $625.79 Aetna — Aetna INTL Passport: $517.41 AvMed — AvMed: $358.13 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $228.07 Self Pay — Self Pay: $226.19
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$891.13	$187.14	$84.39 – $691
Screening mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna: $244.80 Aetna — Aetna ASA: $269.01 Aetna — Aetna First Health: $591.71 Aetna — Aetna INTL Passport: $489.23 Aetna — NODE Aetna MCR ADV: $90.79 Amerigroup — Amerigroup Medicaid FL: $31.99 AvMed — AvMed: $338.63 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$891.13	$213.87	$213.87 – $591.71
Screening mammogram, both breasts: rates for 5 insurance plans Aetna — Aetna First Health: $591.71 Aetna — Aetna INTL Passport: $489.23 AvMed — AvMed: $338.63 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $215.65 Self Pay — Self Pay: $213.87
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BR-DIG MAMMO SCRN UN	$891.13	$187.14	$45.39 – $691
Screening mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna: $244.80 Aetna — Aetna ASA: $269.01 Aetna — Aetna First Health: $591.71 Aetna — Aetna INTL Passport: $489.23 Aetna — NODE Aetna MCR ADV: $45.39 Amerigroup — Amerigroup Medicaid FL: $16 AvMed — AvMed: $338.63 Blue Cross Blue Shield — BCBS FL BSL: $400 Blue Cross Blue Shield — BCBS FL HMO: $363 Blue Cross Blue Shield — BCBS FL MBN: $337

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY	$20,656.94	$4,337.96	$312 – $46,805
Heart rhythm study (electrophysiology evaluation): 10 of 52 insurance plan rates Aetna — Aetna: $4,895.69 Aetna — Aetna ASA: $5,391.46 Aetna — Aetna First Health: $13,716.21 Aetna — Aetna INTL Passport: $11,340.66 Aetna — NODE Aetna MCR ADV: $8,014.70 Amerigroup — Amerigroup Medicaid FL: $4,633.95 AvMed — AvMed: $7,849.64 Blue Cross Blue Shield — BCBS FL BSL: $27,108 Blue Cross Blue Shield — BCBS FL HMO: $24,659 Blue Cross Blue Shield — BCBS FL MBN: $22,908
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY	$20,656.94	$4,957.67	$4,957.67 – $13,716.21
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Aetna — Aetna First Health: $13,716.21 Aetna — Aetna INTL Passport: $11,340.66 AvMed — AvMed: $7,849.64 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $4,998.98 Self Pay — Self Pay: $4,957.67
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I	$76,883.26	$16,145.48	$940.79 – $51,050.49
Heart rhythm study with ablation for atrial fibrillation: 10 of 53 insurance plan rates Aetna — Aetna: $25,511 Aetna — Aetna ASA: $28,062 Aetna — Aetna First Health: $51,050.49 Aetna — Aetna INTL Passport: $42,208.91 Aetna — NODE Aetna MCR ADV: $26,784.04 Amerigroup — Amerigroup Medicaid FL: $12,097.03 AvMed — AvMed: $29,215.64 Blue Cross Blue Shield — BCBS FL BSL: $27,108 Blue Cross Blue Shield — BCBS FL HMO: $24,659 Blue Cross Blue Shield — BCBS FL MBN: $22,908
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	$186,043.90	$39,069.22	$940.79 – $123,533.15
Heart rhythm study with ablation for atrial fibrillation: 10 of 53 insurance plan rates Aetna — Aetna: $25,511 Aetna — Aetna ASA: $28,062 Aetna — Aetna First Health: $123,533.15 Aetna — Aetna INTL Passport: $102,138.10 Aetna — NODE Aetna MCR ADV: $26,784.04 Amerigroup — Amerigroup Medicaid FL: $12,097.03 AvMed — AvMed: $70,696.68 Blue Cross Blue Shield — BCBS FL BSL: $27,108 Blue Cross Blue Shield — BCBS FL HMO: $24,659 Blue Cross Blue Shield — BCBS FL MBN: $22,908
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I	$76,883.26	$18,451.98	$18,451.98 – $51,050.48
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans Aetna — Aetna First Health: $51,050.48 Aetna — Aetna INTL Passport: $42,208.91 AvMed — AvMed: $29,215.64 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $18,605.75 Self Pay — Self Pay: $18,451.98

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PT	$484.06	$101.65	$27.56 – $484.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $321.42 Aetna — Aetna INTL Passport: $265.75 Aetna — NODE Aetna MCR ADV: $29.04 AvMed — AvMed: $183.94 Blue Cross Blue Shield — BCBS FL BSL: $484.06 Blue Cross Blue Shield — BCBS FL HMO: $484.06 Blue Cross Blue Shield — BCBS FL MBN: $484.06 Blue Cross Blue Shield — BCBS FL NWB: $484.06
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PTA	$484.06	$101.65	$27.56 – $484.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $321.42 Aetna — Aetna INTL Passport: $265.75 Aetna — NODE Aetna MCR ADV: $29.04 AvMed — AvMed: $183.94 Blue Cross Blue Shield — BCBS FL BSL: $484.06 Blue Cross Blue Shield — BCBS FL HMO: $484.06 Blue Cross Blue Shield — BCBS FL MBN: $484.06 Blue Cross Blue Shield — BCBS FL NWB: $484.06
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THER EXRCS-15MIN OT	$484.06	$101.65	$27.56 – $484.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $321.42 Aetna — Aetna INTL Passport: $265.75 Aetna — NODE Aetna MCR ADV: $29.04 AvMed — AvMed: $183.94 Blue Cross Blue Shield — BCBS FL BSL: $484.06 Blue Cross Blue Shield — BCBS FL HMO: $484.06 Blue Cross Blue Shield — BCBS FL MBN: $484.06 Blue Cross Blue Shield — BCBS FL NWB: $484.06
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (low complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PTA	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (low complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$1,299.37	$311.85	$311.85 – $862.78
Physical therapy evaluation (low complexity): rates for 5 insurance plans Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 AvMed — AvMed: $493.76 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $314.45 Self Pay — Self Pay: $311.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (moderate complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PTA	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (moderate complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$1,299.37	$311.85	$311.85 – $862.78
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 AvMed — AvMed: $493.76 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $314.45 Self Pay — Self Pay: $311.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (high complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PTA	$1,299.37	$272.87	$93.96 – $1,299.37
Physical therapy evaluation (high complexity): 10 of 55 insurance plan rates Aetna — Aetna: $349 Aetna — Aetna ASA: $384 Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 Aetna — NODE Aetna MCR ADV: $97.48 Amerigroup — Amerigroup Medicaid FL: $170.93 AvMed — AvMed: $493.76 Blue Cross Blue Shield — BCBS FL BSL: $1,299.37 Blue Cross Blue Shield — BCBS FL HMO: $1,232 Blue Cross Blue Shield — BCBS FL MBN: $1,145
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$1,299.37	$311.85	$311.85 – $862.78
Physical therapy evaluation (high complexity): rates for 5 insurance plans Aetna — Aetna First Health: $862.78 Aetna — Aetna INTL Passport: $713.35 AvMed — AvMed: $493.76 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $314.45 Self Pay — Self Pay: $311.85

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT	$173,583.54	$36,452.54	$1,289.75 – $115,259.47
Total hip replacement: 10 of 53 insurance plan rates Aetna — Aetna: $23,193 Aetna — Aetna ASA: $25,512 Aetna — Aetna First Health: $115,259.47 Aetna — Aetna INTL Passport: $95,297.36 Aetna — NODE Aetna MCR ADV: $13,173.75 Amerigroup — Amerigroup Medicaid FL: $6,494.19 AvMed — AvMed: $65,961.75 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT	$191,413.32	$40,196.80	$1,288.06 – $127,098.45
Total knee replacement: 10 of 53 insurance plan rates Aetna — Aetna: $23,193 Aetna — Aetna ASA: $25,512 Aetna — Aetna First Health: $127,098.45 Aetna — Aetna INTL Passport: $105,085.91 Aetna — NODE Aetna MCR ADV: $13,173.75 Amerigroup — Amerigroup Medicaid FL: $6,494.19 AvMed — AvMed: $72,737.06 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	$116,372.13	$24,438.15	$172.47 – $77,271.10
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates Aetna — Aetna: $18,554 Aetna — Aetna ASA: $20,409 Aetna — Aetna First Health: $77,271.10 Aetna — Aetna INTL Passport: $63,888.30 Amerigroup — Amerigroup Medicaid FL: $1,504.51 AvMed — AvMed: $44,221.41 Blue Cross Blue Shield — BCBS FL BSL: $3,943 Blue Cross Blue Shield — BCBS FL HMO: $3,587 Blue Cross Blue Shield — BCBS FL MBN: $3,331 Blue Cross Blue Shield — BCBS FL NWB: $5,051
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	$69,950.49	$14,689.60	$543.29 – $46,447.13
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 55 insurance plan rates Aetna — Aetna: $18,554 Aetna — Aetna ASA: $20,409 Aetna — Aetna First Health: $46,447.13 Aetna — Aetna INTL Passport: $38,402.82 Aetna — NODE Aetna MCR ADV: $3,362.21 Amerigroup — Amerigroup Medicaid FL: $1,504.51 AvMed — AvMed: $26,581.19 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$20,101.92	$4,221.40	$268.32 – $13,347.68
Upper GI endoscopy (diagnostic): 10 of 55 insurance plan rates Aetna — Aetna: $2,900 Aetna — Aetna ASA: $3,190 Aetna — Aetna First Health: $13,347.68 Aetna — Aetna INTL Passport: $11,035.95 Aetna — NODE Aetna MCR ADV: $932 Amerigroup — Amerigroup Medicaid FL: $707.39 AvMed — AvMed: $7,638.73 Blue Cross Blue Shield — BCBS FL BSL: $2,649 Blue Cross Blue Shield — BCBS FL HMO: $2,410 Blue Cross Blue Shield — BCBS FL MBN: $2,238
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	$21,101.99	$4,431.42	$345.26 – $14,011.72
Upper GI endoscopy with biopsy: 10 of 55 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $14,011.72 Aetna — Aetna INTL Passport: $11,584.99 Aetna — NODE Aetna MCR ADV: $932 Amerigroup — Amerigroup Medicaid FL: $707.39 AvMed — AvMed: $8,018.76 Blue Cross Blue Shield — BCBS FL BSL: $2,649 Blue Cross Blue Shield — BCBS FL HMO: $2,410 Blue Cross Blue Shield — BCBS FL MBN: $2,238
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$14,374.61	$3,018.67	$321.67 – $9,544.74
Colonoscopy (diagnostic): 10 of 55 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $9,544.74 Aetna — Aetna INTL Passport: $7,891.66 Aetna — NODE Aetna MCR ADV: $955.60 Amerigroup — Amerigroup Medicaid FL: $694.20 AvMed — AvMed: $5,462.35 Blue Cross Blue Shield — BCBS FL BSL: $2,649 Blue Cross Blue Shield — BCBS FL HMO: $2,410 Blue Cross Blue Shield — BCBS FL MBN: $2,238
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$20,307.78	$4,264.63	$404.72 – $13,484.37
Colonoscopy with biopsy: 10 of 55 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $13,484.37 Aetna — Aetna INTL Passport: $11,148.97 Aetna — NODE Aetna MCR ADV: $1,229.64 Amerigroup — Amerigroup Medicaid FL: $694.20 AvMed — AvMed: $7,716.96 Blue Cross Blue Shield — BCBS FL BSL: $3,695 Blue Cross Blue Shield — BCBS FL HMO: $3,363 Blue Cross Blue Shield — BCBS FL MBN: $3,125
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	$22,244.94	$4,671.44	$427.68 – $14,770.64
Colonoscopy with removal of polyps (snare): 10 of 55 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $14,770.64 Aetna — Aetna INTL Passport: $12,212.47 Aetna — NODE Aetna MCR ADV: $1,229.64 Amerigroup — Amerigroup Medicaid FL: $694.20 AvMed — AvMed: $8,453.08 Blue Cross Blue Shield — BCBS FL BSL: $3,695 Blue Cross Blue Shield — BCBS FL HMO: $3,363 Blue Cross Blue Shield — BCBS FL MBN: $3,125
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$15,419.51	$3,238.10	$322.14 – $10,238.55
Screening colonoscopy (not high risk): 10 of 51 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $10,238.55 Aetna — Aetna INTL Passport: $8,465.31 Aetna — NODE Aetna MCR ADV: $951.72 Amerigroup — Amerigroup Medicaid FL: $694.20 AvMed — AvMed: $5,859.41 Blue Cross Blue Shield — BCBS FL BSL: $3,943 Blue Cross Blue Shield — BCBS FL HMO: $3,587 Blue Cross Blue Shield — BCBS FL MBN: $3,331
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$77,893.24	$16,357.58	$220.50 – $51,721.11
Gallbladder removal by laparoscope: 10 of 55 insurance plan rates Aetna — Aetna: $20,872 Aetna — Aetna ASA: $22,959 Aetna — Aetna First Health: $51,721.11 Aetna — Aetna INTL Passport: $42,763.39 Aetna — NODE Aetna MCR ADV: $6,212.21 Amerigroup — Amerigroup Medicaid FL: $2,615.62 AvMed — AvMed: $29,599.43 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA	$71,884.87	$15,095.82	$534.04 – $47,731.55
Groin (inguinal) hernia repair, age 5 or older: 10 of 55 insurance plan rates Aetna — Aetna: $11,596 Aetna — Aetna ASA: $12,756 Aetna — Aetna First Health: $47,731.55 Aetna — Aetna INTL Passport: $39,464.79 Aetna — NODE Aetna MCR ADV: $3,679.12 Amerigroup — Amerigroup Medicaid FL: $2,726.59 AvMed — AvMed: $27,316.25 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	$51,865.06	$10,891.66	$229.02 – $34,438.40
Prostate biopsy: 10 of 19 insurance plan rates Aetna — Aetna First Health: $34,438.40 Aetna — Aetna INTL Passport: $28,473.92 AvMed — AvMed: $19,708.72 Blue Cross Blue Shield — BCBS FL BSL: $5,562 Blue Cross Blue Shield — BCBS FL HMO: $5,061 Blue Cross Blue Shield — BCBS FL MBN: $4,703 Blue Cross Blue Shield — BCBS FL NWB: $7,128 Blue Cross Blue Shield — BCBS FL PHS: $9,606 Blue Cross Blue Shield — BCBS FL PPO: $7,128 Blue Cross Blue Shield — BCBS FL SBN: $5,061
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	$168,122.04	$35,305.63	$1,177.61 – $111,633.04
Prostate removal by laparoscope (radical prostatectomy): 10 of 55 insurance plan rates Aetna — Aetna: $20,872 Aetna — Aetna ASA: $22,959 Aetna — Aetna First Health: $111,633.04 Aetna — Aetna INTL Passport: $92,299 Aetna — NODE Aetna MCR ADV: $10,913.22 Amerigroup — Amerigroup Medicaid FL: $3,314.82 AvMed — AvMed: $63,886.38 Blue Cross Blue Shield — BCBS FL BSL: $16,822 Blue Cross Blue Shield — BCBS FL HMO: $15,298 Blue Cross Blue Shield — BCBS FL MBN: $14,212
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	$63,576.52	$13,351.07	$1,154.94 – $42,214.81
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates Aetna — Aetna: $10,437 Aetna — Aetna ASA: $11,481 Aetna — Aetna First Health: $42,214.81 Aetna — Aetna INTL Passport: $34,903.51 Aetna — NODE Aetna MCR ADV: $3,326.37 Amerigroup — Amerigroup Medicaid FL: $1,705.17 AvMed — AvMed: $24,159.08 Blue Cross Blue Shield — BCBS FL BSL: $6,470 Blue Cross Blue Shield — BCBS FL HMO: $5,884 Blue Cross Blue Shield — BCBS FL MBN: $5,466
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	$7,004.98	$1,471.05	$228.38 – $4,651.31
Nerve root injection, lower back, with imaging guidance: 10 of 55 insurance plan rates Aetna — Aetna: $2,900 Aetna — Aetna ASA: $3,190 Aetna — Aetna First Health: $4,651.31 Aetna — Aetna INTL Passport: $3,845.73 Aetna — NODE Aetna MCR ADV: $908.86 Amerigroup — Amerigroup Medicaid FL: $526.71 AvMed — AvMed: $2,661.89 Blue Cross Blue Shield — BCBS FL BSL: $2,649 Blue Cross Blue Shield — BCBS FL HMO: $2,410 Blue Cross Blue Shield — BCBS FL MBN: $2,238
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$26,967.89	$5,663.26	$443.69 – $17,906.68
Carpal tunnel release: 10 of 55 insurance plan rates Aetna — Aetna: $4,638 Aetna — Aetna ASA: $5,102 Aetna — Aetna First Health: $17,906.68 Aetna — Aetna INTL Passport: $14,805.37 Aetna — NODE Aetna MCR ADV: $2,006.56 Amerigroup — Amerigroup Medicaid FL: $958.91 AvMed — AvMed: $10,247.80 Blue Cross Blue Shield — BCBS FL BSL: $5,562 Blue Cross Blue Shield — BCBS FL HMO: $5,061 Blue Cross Blue Shield — BCBS FL MBN: $4,703

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,140.66 – $293,452.75
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 34 insurance plan rates Aetna — Aetna: $209,136.70 Aetna — Aetna ASA: $230,052.33 Aetna — NODE Aetna MCR ADV: $70,737.86 Blue Cross Blue Shield — BCBS FL BSL: $116,917.24 Blue Cross Blue Shield — BCBS FL HMO: $106,361.55 Blue Cross Blue Shield — BCBS FL MBN: $98,812.38 Blue Cross Blue Shield — BCBS FL NWB: $149,791.30 Blue Cross Blue Shield — BCBS FL PHS: $201,867.50 Blue Cross Blue Shield — BCBS FL PPO: $149,791.30 Blue Cross Blue Shield — BCBS FL SBN: $106,361.55
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$1,140.66 – $109,747.01
Spinal fusion (not neck), without major complications: 10 of 22 insurance plan rates Aetna — NODE Aetna MCR ADV: $26,471.42 Blue Cross Blue Shield — NODE BCBS FL MCR ADV: $26,471.42 Community Health Partners — Community Health Partners: $109,747.01 Florida State Auto Insurance — State Auto Insurance FL: $53,952.44 Freedom Optimum — NODE Freedom Optimum MCR ADV: $27,264.52 Humana — NODE Humana MCR ADV: $26,471.42 NODE Medicare Non Par — NODE Medicare Non Par: $26,471.42 NODE Medicare Traditional — NODE Medicare Traditional: $26,471.42 NODE Non Par Hospice Agree — NODE Hospice Non Par: $1,140.66 NODE United Optum VA CCN — NODE United Optum VA CCN: $26,976.22
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,140.66 – $57,888.69
Hip or knee replacement (major joint of the leg), without major complications: 10 of 34 insurance plan rates Aetna — Aetna: $41,236.02 Aetna — Aetna ASA: $45,360.01 Aetna — NODE Aetna MCR ADV: $13,975.44 Blue Cross Blue Shield — BCBS FL BSL: $25,358 Blue Cross Blue Shield — BCBS FL HMO: $23,067 Blue Cross Blue Shield — BCBS FL MBN: $21,429 Blue Cross Blue Shield — BCBS FL NWB: $32,487 Blue Cross Blue Shield — BCBS FL PHS: $43,786 Blue Cross Blue Shield — BCBS FL PPO: $32,487 Blue Cross Blue Shield — BCBS FL SBN: $23,067
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,140.66 – $73,257.31
Neck (cervical) spinal fusion, without complications: 10 of 34 insurance plan rates Aetna — Aetna: $52,190.11 Aetna — Aetna ASA: $57,409.61 Aetna — NODE Aetna MCR ADV: $17,678.72 Blue Cross Blue Shield — BCBS FL BSL: $22,687.87 Blue Cross Blue Shield — BCBS FL HMO: $37,155 Blue Cross Blue Shield — BCBS FL MBN: $19,174.61 Blue Cross Blue Shield — BCBS FL NWB: $29,067.10 Blue Cross Blue Shield — BCBS FL PHS: $39,172.52 Blue Cross Blue Shield — BCBS FL PPO: $29,067.10 Blue Cross Blue Shield — BCBS FL SBN: $20,639.53
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,140.66 – $37,247.40
Uterus and ovary surgery (not for cancer), without complications: 10 of 34 insurance plan rates Aetna — Aetna: $26,523.68 Aetna — Aetna ASA: $29,176.30 Aetna — NODE Aetna MCR ADV: $9,001.63 Blue Cross Blue Shield — BCBS FL BSL: $15,123.11 Blue Cross Blue Shield — BCBS FL HMO: $13,757.75 Blue Cross Blue Shield — BCBS FL MBN: $12,781.27 Blue Cross Blue Shield — BCBS FL NWB: $19,375.34 Blue Cross Blue Shield — BCBS FL PHS: $26,111.34 Blue Cross Blue Shield — BCBS FL PPO: $19,375.34 Blue Cross Blue Shield — BCBS FL SBN: $13,757.75

Source: Physicians Regional Medical Center - Pine Ridge’s standard charges file (physiciansregional.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	6101 Pine Ridge Road, Naples, FL 34119
County	Collier County
State	Florida
Phone	(239) 304‑5145
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
CMS Certification Number	100286
Name in Medicare records	PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(239) 348‑4000^[4]
Official website	physiciansregional.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Physicians Regional Medical Center - Pine Ridge — physiciansregional.com