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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Halifax Health Medical Center more than 61% of the 88 Florida hospitals that report inpatient hip or knee replacement.