Price AtlasInteractive atlas · All states · techysurgeon.comPhysicians Regional Medical Center - Pine Ridge: what a joint replacement costs
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.
Medicare prices at Physicians Regional Medical Center - Pine Ridge
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,676 | 3.3× | $20,643–$57,889 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthPartners | $57,889 | 4.5× | 1 |
| UnitedHealthcare | $46,721 | 3.6× | 1 |
| Aetna | $43,298 | 3.4× | 1 |
| Occunet | $42,676 | 3.3× | 1 |
| Florida Blue | $25,358 | 2.0× | 1 |
| Cigna | $23,820 | 1.9× | 1 |
| NODE US Dept of Labor | $20,643 | 1.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
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.
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Questions
How much does Medicare pay Physicians Regional Medical Center - Pine Ridge for a knee or hip replacement?
In 2024 the average total payment to Physicians Regional Medical Center - Pine Ridge for an inpatient hip or knee replacement stay was $12,809 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,839 per outpatient case (APC 5115, 611 cases).
What is Physicians Regional Medical Center - Pine Ridge's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $208,233, 16.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Physicians Regional Medical Center - Pine Ridge?
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.
How does Physicians Regional Medical Center - Pine Ridge compare with other Florida hospitals?
Physicians Regional Medical Center - Pine Ridge's average total payment per Medicare stay is lower than 86% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Physicians Regional Medical Center - Pine Ridge for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $42,676 across 7 insurers, ranging from $20,643 to $57,889.