CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,675
about 1.5× the $12,807 Medicare rate · typically $15,759–$23,873
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,683
Above the fair price
about $8,008 over the fair price · 2.2× Medicare
Medicare pays $12,807 Fair price $19,675 This hospital $27,683

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $11,438 Priciest $27,683

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $19,675 (about 1.5× the $12,807 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $27,683 — above the fair price. Located in Naples, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,675. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12,776 - $45,672 100%
Blue Cross Blue Shieldmajor $12,776 - $52,545 100%
Aetnamajor $12,776 - $41,459 100%
Cignamajor $15,175 118%
Humanamajor $12,776 100%
Ambetter (Centene) $33,154 259%
HealthPartners $52,913 413%
Simply Healthcare $13,414 105%
WellCare $13,392 105%
+ 4 smaller / regional plans $13,159 - $39,005
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals