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Halifax 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.

Surgery center nearby
$8,150
East Coast Surgery Center, 3.1 mi
Outpatient here
$11,814
336 Medicare cases, APC 5115
Inpatient here
$15,853
19 Medicare stays, MS-DRG 470

Medicare prices at Halifax Health Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,853$113,6927.2×$11,814
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$18,161$88,1024.9×—

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 Medicare paid Halifax Health Medical Center an average of $15,853 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $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× 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 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?

Medicare paid Halifax Health Medical Center more than 61% of the 88 Florida hospitals that report inpatient hip or knee replacement.