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Lee Memorial Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,687
National Spine & Ortho Surgery Center of Ft. Myers, same ZIP
Outpatient here
$11,798
Medicare allowed amount, 678 cases, APC 5115
Inpatient here
$15,156
Avg total payment (incl. patient share), 237 Medicare stays, MS-DRG 470

Medicare prices at Lee Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,156$108,5087.2×$11,798
Shoulder replacement$19,166$116,4236.1×$16,106
Hip replacement after a fracture (DRG 522)$16,279$118,4657.3×—

Quality

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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Questions

How much does Medicare pay Lee Memorial Hospital for a knee or hip replacement?

In 2024 the average total payment to Lee Memorial Hospital for an inpatient hip or knee replacement stay was $15,156 (MS-DRG 470, 237 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,798 per outpatient case (APC 5115, 678 cases).

What is Lee Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,508, 7.2× the average total payment for a Medicare stay. 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 Lee Memorial Hospital?

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.

How does Lee Memorial Hospital compare with other Florida hospitals?

Lee Memorial Hospital's average total payment per Medicare stay is lower than 50% of the 88 Florida hospitals that report inpatient hip or knee replacement.