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Bethesda Hospital East: what a joint replacement costs

Boynton Beach, FL 33435 · CMS Certification Number 100002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,612
Delray Beach Surgical Suites, 4.4 mi
Outpatient here
$11,906
370 Medicare cases, APC 5115
Inpatient here
$15,161
16 Medicare stays, MS-DRG 470

Medicare prices at Bethesda Hospital East

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,161$124,7798.2×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$16,723$114,8396.9×—

Quality

Complications after hip or knee replacement: 6.7% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 481 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Bethesda Hospital East for a knee or hip replacement?

In 2024 Medicare paid Bethesda Hospital East an average of $15,161 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,906 per outpatient case (APC 5115, 370 cases).

What is Bethesda Hospital East's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $124,779, 8.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Bethesda Hospital East?

Yes for Medicare facility payments. Delray Beach Surgical Suites, an orthopedic surgery center 4.4 mi away, is paid about $8,612 by Medicare for a knee replacement (CPT 27447), $6,549 less than an inpatient stay at Bethesda Hospital East. Not every patient is a surgery-center candidate.

How does Bethesda Hospital East compare with other Florida hospitals?

Medicare paid Bethesda Hospital East more than 51% of the 88 Florida hospitals that report inpatient hip or knee replacement.