Price AtlasInteractive atlas · All states · techysurgeon.comHalifax Health Medical Center: what a joint replacement costs
Daytona Beach, FL 32114 · CMS Certification Number 100017. 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.
Medicare prices at Halifax Health Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,853 | $113,692 | 7.2× | $11,814 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $18,161 | $88,102 | 4.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,211 | 2.3× | $15,188–$41,097 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Oscar | $41,097 | 2.6× | 1 |
| Humana | $38,953 | 2.5× | 1 |
| Centivo | $38,417 | 2.4× | 1 |
| Claimdoc | $38,417 | 2.4× | 1 |
| Florida Blue | $36,557 | 2.3× | 1 |
| Florida Healthcare | $35,865 | 2.3× | 1 |
| Evolutions | $32,605 | 2.1× | 1 |
| Fhcp | $30,485 | 1.9× | 1 |
| Employers Health Network | $25,703 | 1.6× | 1 |
| Embs | $15,188 | 1.0× | 1 |
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 709 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Halifax Health Medical Center for a knee or hip replacement?
In 2024 the average total payment to Halifax Health Medical Center for an inpatient hip or knee replacement stay was $15,853 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,814 per outpatient case (APC 5115, 336 cases).
What is Halifax Health Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $113,692, 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 Halifax Health Medical Center?
Yes for Medicare facility payments. East Coast Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,150 by Medicare for a knee replacement (CPT 27447), $7,703 less than an inpatient stay at Halifax Health Medical Center. Not every patient is a surgery-center candidate.
How does Halifax Health Medical Center compare with other Florida hospitals?
Halifax Health Medical Center's average total payment per Medicare stay is higher than 61% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Halifax Health Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,211 across 10 insurers, ranging from $15,188 to $41,097.