How many shoppable procedure prices are published for Physicians Regional Medical Center - Pine Ridge?

Physicians Regional Medical Center - Pine Ridge in Naples, FL currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Physicians Regional Medical Center - Pine Ridge's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Physicians Regional Medical Center - Pine Ridge's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Physicians Regional Medical Center - Pine Ridge's CMS Care Compare overall star rating?

CMS Care Compare assigns Physicians Regional Medical Center - Pine Ridge an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 327 Beds · urban Updated: 2026-04-01

Physicians Regional Medical Center - Pine Ridge

6101 Pine Ridge Road, Naples, FL 34119 · 98 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 58% of the Time

File Completeness66

Price Logic94

Peer Alignment77

Clean Billing84

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Physicians Regional Medical Center - Pine Ridge prices shoppable and inpatient services (1.3× to 1.1× Medicare, divergence 0.85×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#66 of 165 in FL · 39th State Percentile#1,451 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 64% patient recommendation (57/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.2× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.24×) jump +29% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 5,538) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+29% Upper Tail

Q25 0.90× · Q50 0.96× · Q75 1.24×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.2× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

58% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at Physicians Regional Medical Center - Pine Ridge

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$27,683	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,820	$19,432	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,529	$19,087	1.2×
Total knee replacement CPT Code: `27447`	$40,197	$15,298	$13,523	1.1×
Total hip replacement CPT Code: `27130`	$36,453	$13,488	$13,413	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,468	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$16,358	$6,356	$6,109	1.0×
Bunion correction surgery CPT Code: `28296`	$24,675	$5,381	$3,446	1.6×
Inguinal hernia repair CPT Code: `49505`	$15,096	$4,483	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$14,690	$3,816	$3,372	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$4,265	$2,381	$1,256	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,019	$1,978	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$4,431	$1,420	$987	1.4×
Rabies immune globulin HCPCS Code: `90375`	$778	$833	$322	2.6×
Blood transfusion CPT Code: `36430`	$897	$749	$498	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,343	$571	$583	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,957	$363	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,623	$369	$511	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$114	$249	$86	2.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$136	$225	$201	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$497	$249	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,893	$245	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,396	$253	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,192	$253	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,174	$253	$369	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,543	$213	$160	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,552	$217	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,013	$226	$258	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$206	$120	$86	1.4×
X-ray, hip CPT Code: `73502`	$211	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$446	$107	$112	1.0×
X-ray, pelvis CPT Code: `72170`	$210	$100	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$815	$113	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,092	$115	$134	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$572	$107	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$571	$111	$132	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$212	$114	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$1,626	$111	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,991	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,422	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,875	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,862	$111	$169	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$395	$85	$93	0.9×
X-ray, hand CPT Code: `73130`	$330	$85	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$166	$84	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$483	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$216	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	$578	$81	$93	0.9×
X-ray, foot CPT Code: `73630`	$476	$80	$92	0.9×
Typhoid vaccine HCPCS Code: `90675`	$574	$329	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$181	$157	$140	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	$147	$56	unverified
Flu vaccine injection HCPCS Code: `G0008`	$76	$114	$48	unverified
Orthotic fitting and training CPT Code: `97760`	$64	$73	$51	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$76	$98	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$76	$98	$49	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$94	$56	$40	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$85	$53	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$112	$46	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$134	$51	$38	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$92	$51	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$109	$46	$35	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$76	$43	$34	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$236	$62	$64	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$58	$19	$14	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$32	$25	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$201	$49	$123	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$52	$19	$20	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$195	$31	$35	0.9×
Speech therapy (group session) CPT Code: `92508`	$89	$38	$27	unverified
Blood test, calcium CPT Code: `82310`	$25	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$31	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$28	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$7	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$20	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$29	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$3	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$51	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$34	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$62	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$17	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$38	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$38	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$94	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$29	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$100	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$4	$5	0.8×
Blood antibody screen CPT Code: `86850`	$115	$9	$46	0.2×
Blood test, potassium CPT Code: `84132`	$19	$5	$5	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Physicians Regional Medical Center - Pine Ridge (Zero PHI Required)

CMS CCN: 100286

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $27,683

1. Amount on Your Bill or Quote ($) Pre-filled with Physicians Regional Medical Center - Pine Ridge’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Physicians Regional Medical Center - Pine Ridge's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$48,503 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($66,439) is $48,503 above the denoised Fair BaseRate ($17,936) and 5.2× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Physicians Regional Medical Center - Pine Ridge as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait163 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (2,672 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Physicians Regional Medical Center - Pine Ridge.

Price Index: 1.19× regional baseline

Quality: 41/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.5%

Median Household Income$86,173U.S. Census ACS

Local Uninsured Share11.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 84/100 · Corroborated CMS CCN 100286

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 100286) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows6,469 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100286

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy