Florida / Naples Community Hospital

CMS certification 100018 · Naples, FL · 2 entries in CMS's price-transparency list

Naples Community Hospital: charges and Medicare payments

Naples Community Hospital reported 10,478 Medicare inpatient stays across 224 DRGs in 2024. Across them it charged 5.25 times what it was paid — among the lower ratios in Florida, number 114 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 669 stays at an average charge of $79,399, 12% below the national average. It also billed 7,319 outpatient services, charging 7.2 times what Medicare paid.

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  1. 1Medicare inpatient stays 10,478
  2. 2Charge ÷ paid, inpatient 5.25×
  3. 3Rank in FL (highest ratio = 1) 114 of 159
  4. 4CMS price-transparency actions 2
DRG 871$79,399DRG 291$45,927DRG 177$60,876DRG 392$38,262DRG 690$37,767DRG 193$58,307DRG 274$119,874DRG 872$48,096DRG 378$48,799DRG 689$45,351
Average charge per stay at Naples Community Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 224 DRGs that can be compared with the national average, Naples Community Hospital charged more than the national average in 32 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC669$79,399-12%$14,131
291 Heart Failure and Shock with MCC491$45,927-19%$9,371
177 Respiratory Infections and Inflammations with MCC267$60,876-14%$12,005
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...245$38,262-5%$6,267
690 Kidney and Urinary Tract Infections without MCC211$37,7670%$6,448
193 Simple Pneumonia and Pleurisy with MCC209$58,307-2%$10,252
274 Percutaneous and Other Intracardiac Procedures without MCC201$119,874-24%$23,764
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC172$48,096-2%$7,873
378 Gastrointestinal Hemorrhage with CC163$48,799+1%$7,493
689 Kidney and Urinary Tract Infections with MCC154$45,351-12%$8,575
309 Cardiac Arrhythmia and Conduction Disorders with CC151$31,723-12%$5,960
312 Syncope and Collapse151$38,577-15%$6,835
603 Cellulitis without MCC148$32,880-12%$6,784
280 Acute Myocardial Infarction, Discharged Alive with MCC142$66,047-13%$11,829
470 Major Hip and Knee Joint Replacement or Reattachment of...142$77,543-17%$14,016
266 Endovascular Cardiac Valve Replacement and Supplement...127$165,869-42%$44,313
481 Hip and Femur Procedures except Major Joint with CC124$88,212-12%$15,388
552 Medical Back Problems without MCC123$48,209-1%$7,190
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...117$52,648-6%$7,650
683 Renal Failure with CC117$38,216-6%$6,958
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...115$34,614-7%$6,015
194 Simple Pneumonia and Pleurisy with CC111$38,939+1%$6,563
698 Other Kidney and Urinary Tract Diagnoses with MCC102$64,985-11%$12,388
064 Intracranial Hemorrhage or Cerebral Infarction with MCC97$75,637-24%$13,717
682 Renal Failure with MCC91$50,114-24%$10,964
853 Infectious and Parasitic Diseases with O.R. Procedures with...91$193,233-16%$37,580
389 Gastrointestinal Obstruction with CC86$37,561-4%$6,319
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC85$25,904-10%$4,611
522 Hip Replacement with Principal Diagnosis of Hip Fracture...85$86,706-15%$15,630
699 Other Kidney and Urinary Tract Diagnoses with CC79$41,503-13%$7,781
322 Percutaneous Cardiovascular Procedures with Intraluminal...75$96,148-16%$14,656
190 Chronic Obstructive Pulmonary Disease with MCC74$53,355+5%$8,970
308 Cardiac Arrhythmia and Conduction Disorders with MCC74$39,331-31%$9,408
069 Transient Ischemia without Thrombolytic73$43,902-13%$6,330
377 Gastrointestinal Hemorrhage with MCC71$80,022-6%$12,959
057 Degenerative Nervous System Disorders without MCC70$46,746-17%$9,553
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...70$60,440-1%$10,054
178 Respiratory Infections and Inflammations with CC69$48,818+8%$7,380
330 Major Small and Large Bowel Procedures with CC69$105,361-11%$17,090
812 Red Blood Cell Disorders without MCC68$42,992-3%$7,022
281 Acute Myocardial Infarction, Discharged Alive with CC65$44,717-11%$7,262
305 Hypertension without MCC65$38,370-4%$5,830
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...65$36,673-14%$6,958
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...65$49,522-18%$9,429
418 Laparoscopic Cholecystectomy without C.D.E. with CC63$77,515-17%$12,804
267 Endovascular Cardiac Valve Replacement and Supplement...61$151,854-31%$35,987
273 Percutaneous and Other Intracardiac Procedures with MCC59$159,329-26%$28,228
467 Revision of Hip or Knee Replacement with CC59$121,379-23%$23,986
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...58$43,520+17%$6,538
884 Organic Disturbances and Intellectual Disability56$45,082-28%$11,227
189 Pulmonary Edema and Respiratory Failure55$63,342+10%$9,651
394 Other Digestive System Diagnoses with CC55$40,439-14%$7,151
286 Circulatory Disorders except AMI, with Cardiac...54$89,222-21%$16,883
287 Circulatory Disorders except AMI, with Cardiac...53$56,329-12%$8,418
536 Fractures of Hip and Pelvis without MCC53$40,839+8%$6,302
234 Coronary Bypass with Cardiac Catheterization or Open...49$223,841-17%$34,641
329 Major Small and Large Bowel Procedures with MCC49$144,016-33%$35,096
092 Other Disorders of Nervous System with CC48$45,000-13%$7,973
313 Chest Pain47$30,214-24%$5,901
543 Pathological Fractures and Musculoskeletal and Connective...47$49,288+1%$7,880

Showing the 60 most frequent of 224 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Naples Community Hospital charged $79,399 on average, 30% less than the Florida average of $112,838, and was paid $14,131 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Naples Community Hospital charged $45,927 on average, 32% less than the Florida average of $67,659, and was paid $9,371 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Naples Community Hospital charged $60,876 on average, 29% less than the Florida average of $85,454, and was paid $12,005 against a state average of $13,200. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Naples Community Hospital charged $38,262 on average, 28% less than the Florida average of $53,444, and was paid $6,267 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,906 was 16% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,053 was 45% below the state average of $106,979. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $132,101 was 32% below the state average of $195,231. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,081 was 38% below the state average of $41,880.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Naples Community Hospital in Naples, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.