Hospital Costs > In Florida > Physicians Regional Medical Center - Pine Ridge, procedure costs

Physicians Regional Medical Center - Pine Ridge, procedure costs

6101 Pine Ridge Road, Naples, FL 34119,

Procedure Costs @ Physicians Regional Medical Center - Pine Ridge
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Myocardial Infarction, Discharged Alive W Cc1774 / 34$66.274,201349 / 93$5.977,47288 / 26$5.121,00288 / 40
Acute Myocardial Infarction, Discharged Alive W Mcc20105 / 46$99.220,401698 / 115$10.853,00944 / 83$10.129,80942 / 89
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1241 / 19$38.226,80712 / 45$4.451,4281 / 22$3.248,7581 / 17
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1650 / 17$81.341,00468 / 22$10.640,20126 / 9$9.586,25126 / 18
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1574 / 24$60.392,60668 / 41$6.302,00190 / 13$5.179,87190 / 31
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc1350 / 10$169.509,00225 / 12$19.559,5091 / 5$18.355,8091 / 14
Biopsies Of Musculoskeletal System & Connective Tissue W Cc1319 / 9$115.512,00112 / 13$12.137,8017 / 4$11.118,7017 / 6
Bronchitis & Asthma W Cc/Mcc1462 / 32$47.087,30984 / 90$5.092,57185 / 25$4.050,29182 / 31
Bronchitis & Asthma W/O Cc/Mcc1233 / 20$30.810,90311 / 40$3.840,50120 / 11$3.085,83120 / 25
Cardiac Arrhythmia & Conduction Disorders W Cc51110 / 46$48.764,702050 / 138$4.701,51286 / 46$3.590,90286 / 44
Cardiac Arrhythmia & Conduction Disorders W Mcc3984 / 29$65.606,201741 / 108$7.736,67863 / 78$6.918,62860 / 84
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc39111 / 55$26.790,301676 / 98$3.319,23297 / 37$2.257,05295 / 43
Cellulitis W Mcc1246 / 22$107.286,00955 / 72$11.240,20557 / 63$9.041,50555 / 55
Cellulitis W/O Mcc60129 / 43$46.800,602521 / 154$5.045,57494 / 56$3.873,00491 / 54
Cervical Spinal Fusion W Cc1241 / 14$108.313,00298 / 21$16.331,8079 / 5$15.121,2079 / 10
Cervical Spinal Fusion W/O Cc/Mcc2381 / 26$96.563,60759 / 46$12.661,30249 / 19$11.378,60249 / 36
Chest Pain12139 / 73$35.354,901507 / 112$3.631,92183 / 34$2.527,92182 / 33
Chronic Obstructive Pulmonary Disease W Cc55124 / 56$45.883,402184 / 121$5.425,47524 / 46$4.565,55522 / 59
Chronic Obstructive Pulmonary Disease W Mcc43159 / 68$63.034,402389 / 140$6.631,70435 / 41$5.729,74434 / 51
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4674 / 39$35.660,301865 / 113$4.765,76312 / 82$3.151,22312 / 43
Circulatory Disorders Except Ami, W Card Cath W/O Mcc34154 / 53$57.568,201353 / 87$6.333,71231 / 34$5.021,71231 / 32
Complications Of Treatment W Cc1735 / 11$46.982,30319 / 29$5.689,4138 / 14$4.838,5938 / 13
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant1131 / 10$297.434,00162 / 9$31.917,8033 / 3$30.931,7033 / 6
Craniotomy & Endovascular Intracranial Procedures W Mcc1682 / 17$231.860,00465 / 32$25.443,40109 / 11$24.389,40109 / 17
Diabetes W Cc2864 / 26$49.080,001528 / 106$4.860,71195 / 37$3.813,57195 / 30
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1357 / 16$58.480,30534 / 38$5.412,31128 / 15$4.947,08128 / 24
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1561 / 15$88.743,80469 / 27$10.481,9039 / 8$9.110,2039 / 5
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1523 / 13$38.990,30419 / 36$3.881,2780 / 13$2.833,8080 / 19
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1467 / 16$530.972,00288 / 21$71.699,7012 / 3$70.675,8012 / 2
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1185 / 44$91.606,001441 / 115$7.936,64611 / 73$6.897,36606 / 73
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc86189 / 72$48.010,002628 / 155$4.715,12799 / 73$3.628,59794 / 79
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1331 / 16$102.260,00321 / 32$17.072,502 / 27$10.964,902 / 1
Extracranial Procedures W Cc1333 / 11$97.715,20355 / 26$9.059,1599 / 9$8.133,6299 / 14
Fractures Of Hip & Pelvis W/O Mcc1249 / 33$32.503,70783 / 66$4.227,00188 / 34$3.221,67189 / 38
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 29$40.014,50728 / 80$4.351,0969 / 19$3.152,5569 / 20
G.I. Hemorrhage W Cc70148 / 44$54.984,002249 / 130$5.951,90477 / 60$4.885,19476 / 55
G.I. Hemorrhage W Mcc2299 / 40$79.022,801429 / 94$9.971,18303 / 40$9.152,27303 / 40
G.I. Hemorrhage W/O Cc/Mcc2741 / 20$40.120,10920 / 89$4.542,5949 / 54$2.766,3049 / 14
G.I. Obstruction W Cc3458 / 26$50.435,701605 / 110$5.161,76371 / 40$4.310,94370 / 49
G.I. Obstruction W/O Cc/Mcc2051 / 27$38.135,401218 / 82$3.811,00185 / 40$2.511,25185 / 29
Heart Failure & Shock W Cc89189 / 53$48.001,302517 / 135$5.718,35467 / 57$4.866,75467 / 55
Heart Failure & Shock W Mcc62222 / 69$68.754,702325 / 123$9.064,391058 / 87$8.366,971056 / 97
Heart Failure & Shock W/O Cc/Mcc2882 / 41$33.054,201780 / 101$4.019,14634 / 40$3.420,29632 / 69
Hip & Femur Procedures Except Major Joint W Cc31112 / 44$95.437,401853 / 102$10.838,50322 / 34$9.783,52321 / 43
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1838 / 20$76.860,00824 / 57$9.077,56154 / 20$8.003,78154 / 26
Hypertension W/O Mcc1253 / 37$35.679,10707 / 73$3.726,00166 / 19$2.824,67165 / 37
Infectious & Parasitic Diseases W O.R. Procedure W Mcc18106 / 44$269.057,001454 / 94$35.836,10329 / 88$28.186,40329 / 43
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs8894 / 12$66.997,001965 / 122$6.291,86437 / 48$5.147,16436 / 52
Intracranial Hemorrhage Or Cerebral Infarction W Mcc67101 / 15$97.322,601493 / 97$10.194,80286 / 53$8.752,39285 / 33
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4161 / 18$43.630,001415 / 84$4.468,83280 / 31$3.346,49278 / 39
Kidney & Ureter Procedures For Neoplasm W Cc1826 / 6$132.100,00173 / 11$13.850,9011 / 6$9.693,3911 / 1
Kidney & Urinary Tract Infections W Mcc22122 / 60$50.226,501688 / 102$6.235,50257 / 35$5.356,95257 / 31
Kidney & Urinary Tract Infections W/O Mcc68165 / 68$48.763,102631 / 160$4.485,75427 / 45$3.562,46427 / 47
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2333 / 19$100.975,00809 / 63$9.602,74210 / 31$8.331,87210 / 35
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1723 / 10$117.578,00396 / 28$14.027,8040 / 7$12.212,7040 / 5
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1730 / 17$66.792,10512 / 40$8.100,0635 / 37$5.153,6535 / 5
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1441 / 21$113.764,00605 / 54$11.516,90181 / 24$10.399,30181 / 29
Major Cardiovasc Procedures W/O Mcc2279 / 32$174.570,00940 / 68$19.625,80324 / 27$18.745,70324 / 48
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2548 / 23$63.300,301033 / 89$6.999,88334 / 49$6.226,76333 / 50
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc1712 / 6$44.406,00119 / 23$7.255,189 / 23$3.592,249 / 5
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc6135 / 6$94.609,50733 / 35$12.865,20175 / 27$10.944,70173 / 19
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1253 / 26$186.752,00888 / 65$22.502,40527 / 61$19.598,20524 / 59
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc530111 / 10$99.135,402467 / 121$12.101,10525 / 37$10.352,50521 / 52
Major Joint/Limb Reattachment Procedure Of Upper Extremities4425 / 4$114.053,00437 / 33$14.525,50127 / 13$13.341,50127 / 25
Major Male Pelvic Procedures W/O Cc/Mcc2746 / 4$95.104,50352 / 10$9.445,48100 / 6$6.019,30100 / 6
Major Small & Large Bowel Procedures W Cc4266 / 18$142.512,001427 / 81$13.799,60266 / 20$12.736,80264 / 42
Major Small & Large Bowel Procedures W Mcc3352 / 15$251.039,001171 / 74$28.715,60332 / 34$27.874,90330 / 47
Major Small & Large Bowel Procedures W/O Cc/Mcc2044 / 13$112.728,00738 / 51$9.117,40182 / 12$7.967,00182 / 25
Medical Back Problems W/O Mcc2596 / 47$44.981,301342 / 113$4.817,04219 / 32$3.802,00219 / 36
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc14112 / 44$91.646,901723 / 115$6.815,2135 / 52$4.908,9335 / 4
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc33133 / 60$39.213,202357 / 133$4.370,42179 / 68$2.973,70179 / 29
O.R. Procedures For Obesity W Cc1222 / 4$80.255,70101 / 5$10.936,8030 / 2$9.931,4230 / 4
O.R. Procedures For Obesity W/O Cc/Mcc4730 / 3$72.615,40362 / 16$8.963,2587 / 7$7.779,9487 / 10
Other Circulatory System Diagnoses W Cc1353 / 23$39.729,60540 / 39$5.524,23160 / 19$4.963,00159 / 24
Other Circulatory System Diagnoses W Mcc12104 / 44$84.379,201179 / 81$10.533,40213 / 31$9.610,08213 / 32
Other Digestive System Diagnoses W Cc3166 / 27$56.122,001336 / 105$5.609,65216 / 30$4.704,55214 / 39
Other Digestive System Diagnoses W/O Cc/Mcc1330 / 17$39.388,80333 / 47$4.001,0040 / 22$2.794,8540 / 18
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 30$67.888,30839 / 74$5.833,6472 / 29$4.728,2772 / 16
Other Kidney & Urinary Tract Diagnoses W Mcc1586 / 29$65.139,10930 / 46$8.453,1337 / 12$7.098,1337 / 8
Other Resp System O.R. Procedures W Mcc1152 / 21$155.959,00492 / 40$21.119,00165 / 26$20.138,50165 / 31
Other Respiratory System Diagnoses W/O Mcc1135 / 14$45.898,10295 / 29$4.590,8241 / 7$3.819,9141 / 10
Other Vascular Procedures W Cc2379 / 26$127.904,001004 / 63$15.659,70146 / 49$13.027,10146 / 16
Other Vascular Procedures W Mcc1483 / 35$87.065,80464 / 24$17.521,4060 / 13$16.485,9060 / 11
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1486 / 33$154.399,00848 / 56$17.857,30143 / 17$16.732,70143 / 27
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc50146 / 42$107.738,001235 / 77$12.216,50262 / 44$10.034,20262 / 35
Peripheral Vascular Disorders W Cc2955 / 24$55.147,701183 / 110$5.693,38343 / 43$4.984,97341 / 59
Peripheral Vascular Disorders W Mcc1435 / 16$64.804,60505 / 47$7.746,4324 / 17$6.208,2124 / 5
Peritoneal Adhesiolysis W Cc1128 / 10$119.523,00268 / 17$12.295,8034 / 2$11.309,6034 / 3
Permanent Cardiac Pacemaker Implant W Cc1859 / 27$167.408,00943 / 85$15.409,90287 / 41$14.537,10286 / 53
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1443 / 25$134.114,00700 / 65$12.156,60133 / 26$10.952,10132 / 24
Poisoning & Toxic Effects Of Drugs W Mcc1557 / 24$90.929,90938 / 71$9.326,73432 / 45$8.283,53431 / 53
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 24$33.664,20796 / 64$3.819,00104 / 20$2.912,33104 / 19
Postoperative & Post-Traumatic Infections W Mcc1231 / 8$75.937,70182 / 16$9.670,7518 / 2$9.366,7518 / 4
Postoperative & Post-Traumatic Infections W/O Mcc1539 / 17$43.928,70388 / 35$5.570,7366 / 19$4.922,2066 / 22
Pulmonary Edema & Respiratory Failure16187 / 58$56.360,801866 / 96$7.037,88448 / 35$6.287,88448 / 50
Pulmonary Embolism W/O Mcc1955 / 24$43.654,301103 / 55$5.514,58187 / 15$4.563,00187 / 27
Red Blood Cell Disorders W/O Mcc4895 / 36$42.180,301795 / 127$4.709,17546 / 42$4.031,17544 / 63
Renal Failure W Cc71150 / 54$52.211,502287 / 143$5.692,15334 / 61$4.572,32332 / 43
Renal Failure W Mcc40155 / 58$60.628,201768 / 102$8.606,67251 / 42$7.627,67251 / 37
Respiratory Infections & Inflammations W Cc1870 / 33$50.136,901149 / 53$7.601,94220 / 22$6.798,39218 / 32
Respiratory Infections & Inflammations W Mcc20116 / 45$92.638,001613 / 90$11.295,8079 / 52$9.282,1579 / 7
Respiratory Neoplasms W Cc1136 / 17$56.695,50428 / 37$6.750,4569 / 17$5.874,8268 / 21
Respiratory System Diagnosis W Ventilator Support <96 Hours23108 / 46$110.920,001613 / 99$15.118,70613 / 88$12.730,30605 / 70
Revision Of Hip Or Knee Replacement W Cc1868 / 23$132.469,00578 / 42$18.501,20160 / 12$17.564,30160 / 19
Seizures W/O Mcc1197 / 45$58.489,401278 / 106$4.489,91178 / 25$3.509,55177 / 34
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc74442 / 98$92.104,102567 / 123$10.502,20578 / 51$9.636,89577 / 59
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc64143 / 38$59.514,002406 / 119$6.135,52506 / 39$5.211,02504 / 61
Signs & Symptoms W/O Mcc1576 / 36$39.918,501224 / 101$4.734,60147 / 72$3.103,20147 / 26
Simple Pneumonia & Pleurisy W Cc87116 / 30$49.389,702545 / 122$5.671,48566 / 49$4.700,08563 / 67
Simple Pneumonia & Pleurisy W Mcc31174 / 67$101.762,002465 / 152$8.246,71463 / 49$7.273,29463 / 54
Simple Pneumonia & Pleurisy W/O Cc/Mcc2865 / 30$38.704,501780 / 106$4.457,36326 / 60$3.073,21324 / 44
Spinal Fusion Except Cervical W/O Mcc92102 / 16$110.074,00834 / 27$22.322,20154 / 21$19.467,10153 / 22
Syncope & Collapse24145 / 79$40.880,701711 / 112$4.467,83252 / 58$3.268,04250 / 42
Transient Ischemia21104 / 62$41.624,401472 / 96$4.154,38192 / 35$3.005,43192 / 32
Transurethral Procedures W Cc1229 / 16$82.716,00367 / 39$7.281,0065 / 14$6.273,0065 / 18
Traumatic Stupor & Coma, Coma <1 Hr W Cc1452 / 25$58.807,70463 / 41$6.415,2187 / 16$5.553,5087 / 22
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1143 / 23$50.856,50378 / 33$4.798,64101 / 16$3.704,82101 / 17
Urinary Stones W/O Esw Lithotripsy W/O Mcc1333 / 18$46.841,60361 / 43$4.115,9251 / 14$2.902,3851 / 17
Total 118 procedures3.742discharges

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.