Naples, FL 34119 · CMS Certification Number 100286. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,809 | $208,233 | 16.3× | $11,839 |
| Shoulder replacement | $16,840 | $233,422 | 13.9× | $16,791 |
| Hip replacement after a fracture (DRG 522) | $15,086 | $204,514 | 13.6× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 327 beds
Florida has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Florida hospitals
In 2024 Medicare paid Physicians Regional Medical Center - Pine Ridge an average of $12,809 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $11,839 per outpatient case (APC 5115, 611 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $208,233, 16.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Naples Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,313 by Medicare for a knee replacement (CPT 27447), $4,496 less than an inpatient stay at Physicians Regional Medical Center - Pine Ridge. Not every patient is a surgery-center candidate.
Medicare paid Physicians Regional Medical Center - Pine Ridge less than 86% of the 88 Florida hospitals that report inpatient hip or knee replacement.