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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,161 | $124,779 | 8.2× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $16,723 | $114,839 | 6.9× | — |
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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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).
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.
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.
Medicare paid Bethesda Hospital East more than 51% of the 88 Florida hospitals that report inpatient hip or knee replacement.