Fort Myers, FL 33901 · CMS Certification Number 100012. 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 | $15,156 | $108,508 | 7.2× | $11,798 |
| Shoulder replacement | $19,166 | $116,423 | 6.1× | $16,106 |
| Hip replacement after a fracture (DRG 522) | $16,279 | $118,465 | 7.3× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 895 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Lee Memorial Hospital an average of $15,156 per inpatient hip or knee replacement stay (MS-DRG 470, 237 stays) and $11,798 per outpatient case (APC 5115, 678 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,508, 7.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. National Spine & Ortho Surgery Center of Ft. Myers, an orthopedic surgery center same ZIP away, is paid about $8,687 by Medicare for a knee replacement (CPT 27447), $6,469 less than an inpatient stay at Lee Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lee Memorial Hospital less than 50% of the 88 Florida hospitals that report inpatient hip or knee replacement.