PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
NAPLES, FL 34119 · Acute Care Hospitals
132 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
132
With CMS pricing data
Avg Charge-to-Medicare Ratio
15.7x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
51%
Compared to FL hospitals
Understanding Your Costs
When you receive a bill from PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE lists chargemaster rates that average 15.7x the corresponding Medicare reimbursement amount across 132 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in FL has a chargemaster-to-Medicare ratio of 8.6x, with ratios across the state ranging from 1.0x to 20.0x. At 15.7x, this facility’s average ratio is above the state median. 165 hospitals in FL report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE is Disorders of the Biliary Tract without Complications (DRG 446). The listed chargemaster rate is $94,102, while Medicare reimburses $3,159 for the same procedure — a ratio of 29.8x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
67 of 132 procedures (51%) at this facility have listed rates above the 90th percentile compared to other FL hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE is a proprietary acute care hospitals facility with a CMS quality rating of 1/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Disorders of the Biliary Tract without Complications | 446 | $94,102 | $3,159 | 29.8x | 1th | Compare your bill |
| Disorders of Pancreas Except Malignancy without Complications | 440 | $60,931 | $2,215 | 27.5x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy without Complications | 195 | $64,510 | $2,372 | 27.2x | 1th | Compare your bill |
| Permanent Cardiac Pacemaker Implant without Complications | 244 | $270,692 | $10,658 | 25.4x | 1th | Compare your bill |
| Permanent Cardiac Pacemaker Implant with Complications | 243 | $297,922 | $12,085 | 24.6x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction without Complications | 066 | $69,728 | $2,855 | 24.4x | 1th | Compare your bill |
| Gastrointestinal Obstruction without Complications | 390 | $51,028 | $2,255 | 22.6x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive without Complications | 282 | $65,067 | $2,982 | 21.8x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders without Complications | 310 | $46,324 | $2,130 | 21.8x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $88,117 | $4,142 | 21.3x | 1th | Compare your bill |
| Dysequilibrium | 149 | $69,661 | $3,371 | 20.7x | 1th | Compare your bill |
| Laparoscopic Cholecystectomy without C.D.E. without Complications | 419 | $132,348 | $6,465 | 20.5x | 1th | Compare your bill |
| Seizures without Major Complications | 101 | $82,942 | $4,059 | 20.4x | 1th | Compare your bill |
| Transient Ischemia without Thrombolytic | 069 | $75,948 | $3,748 | 20.3x | 1th | Compare your bill |
| Major Small and Large Bowel Procedures without Complications | 331 | $176,128 | $8,817 | 20.0x | 1th | Compare your bill |
| Major Chest Procedures with Complications | 164 | $296,659 | $14,874 | 19.9x | 1th | Compare your bill |
| Coronary Bypass without Cardiac Catheterization without Major Complications | 236 | $400,469 | $20,576 | 19.5x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $92,337 | $4,756 | 19.4x | 1th | Compare your bill |
| Fractures of Hip and Pelvis without Major Complications | 536 | $65,707 | $3,406 | 19.3x | 1th | Compare your bill |
| Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications | 287 | $102,720 | $5,373 | 19.1x | 1th | Compare your bill |
| Kidney and Ureter Procedures for Neoplasm with Complications | 657 | $197,714 | $10,386 | 19.0x | 1th | Compare your bill |
| Other Operating Room Procedures for Injuries with Complications | 908 | $195,376 | $10,403 | 18.8x | 1th | Compare your bill |
| Major Small and Large Bowel Procedures with Complications | 330 | $246,943 | $13,365 | 18.5x | 1th | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Complications | 481 | $215,074 | $11,689 | 18.4x | 1th | Compare your bill |
| Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications | 897 | $63,380 | $3,445 | 18.4x | 1th | Compare your bill |
| Heart Failure and Shock with Complications | 292 | $71,627 | $3,903 | 18.4x | 1th | Compare your bill |
| Kidney and Ureter Procedures for Non-Neoplasm without Complications | 661 | $96,030 | $5,264 | 18.2x | 1th | Compare your bill |
| Medical Back Problems without Major Complications | 552 | $80,794 | $4,471 | 18.1x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications | 392 | $65,312 | $3,614 | 18.1x | 1th | Compare your bill |
| Major Gastrointestinal Disorders and Peritoneal Infections with Complications | 372 | $103,032 | $5,704 | 18.1x | 1th | Compare your bill |
| Gastrointestinal Obstruction with Complications | 389 | $68,617 | $3,811 | 18.0x | 1th | Compare your bill |
| Gastrointestinal Hemorrhage with Complications | 378 | $90,679 | $5,078 | 17.9x | 1th | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Major Complications or Comorbidities | 480 | $301,372 | $16,881 | 17.9x | 1th | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $65,770 | $3,692 | 17.8x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications | 247 | $180,042 | $10,160 | 17.7x | 1th | Compare your bill |
| Laparoscopic Cholecystectomy without C.D.E. with Complications | 418 | $153,745 | $8,731 | 17.6x | 1th | Compare your bill |
| Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications | 605 | $77,394 | $4,438 | 17.4x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with Major Complications or Comorbidities | 391 | $116,571 | $6,704 | 17.4x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy with Complications | 194 | $65,484 | $3,776 | 17.3x | 1th | Compare your bill |
| Permanent Cardiac Pacemaker Implant with Major Complications or Comorbidities | 242 | $366,905 | $21,193 | 17.3x | 1th | Compare your bill |
| Pulmonary Embolism without Major Complications | 176 | $66,322 | $3,835 | 17.3x | 1th | Compare your bill |
| Hypertension without Major Complications | 305 | $55,186 | $3,208 | 17.2x | 1th | Compare your bill |
| Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Complications | 516 | $198,433 | $11,621 | 17.1x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Complications | 309 | $58,456 | $3,440 | 17.0x | 1th | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities | 190 | $93,768 | $5,559 | 16.9x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Intraluminal Device without Major Complications | 322 | $167,301 | $9,952 | 16.8x | 1th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $62,791 | $3,750 | 16.7x | 1th | Compare your bill |
| Other Circulatory System Diagnoses with Major Complications or Comorbidities | 314 | $193,792 | $11,632 | 16.7x | 1th | Compare your bill |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without Major Complications | 563 | $68,301 | $4,166 | 16.4x | 1th | Compare your bill |
| Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications | 522 | $195,331 | $11,916 | 16.4x | 1th | Compare your bill |
Showing 50 of 132 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across FL hospitals
165 hospitals in FL report pricing data to CMS. This facility's average ratio of 15.7x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
How much does PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE charge compared to Medicare?
According to CMS IPPS data, PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE's listed chargemaster rates average 15.7x the Medicare reimbursement amount across 132 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE?
The procedure with the highest chargemaster-to-Medicare ratio at PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE is Disorders of the Biliary Tract without Complications (DRG 446), with a listed charge of $94,102 compared to Medicare reimbursement of $3,159 — a ratio of 29.8x. Source: CMS IPPS Provider Summary.
Is PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE expensive compared to other FL hospitals?
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE's average chargemaster-to-Medicare ratio is 15.7x. Ratios vary significantly across FL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE in NAPLES, FL accept Medicare?
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.