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Physicians 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.

Surgery center nearby
$8,313
North Naples Surgery Center, same ZIP
Outpatient here
$11,839
611 Medicare cases, APC 5115
Inpatient here
$12,809
46 Medicare stays, MS-DRG 470

Medicare prices at Physicians Regional Medical Center - Pine Ridge

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,809$208,23316.3×$11,839
Shoulder replacement$16,840$233,42213.9×$16,791
Hip replacement after a fracture (DRG 522)$15,086$204,51413.6×—

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 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).

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× what Medicare paid. 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?

Medicare paid Physicians Regional Medical Center - Pine Ridge less than 86% of the 88 Florida hospitals that report inpatient hip or knee replacement.