Naples, FL 34102 · CMS Certification Number 100018. 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 | $14,016 | $77,543 | 5.5× | $11,875 |
| Shoulder replacement | $19,415 | $101,860 | 5.2× | $16,674 |
| Hip replacement after a fracture (DRG 522) | $15,630 | $86,706 | 5.5× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 7.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 728 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Naples Community Hospital an average of $14,016 per inpatient hip or knee replacement stay (MS-DRG 470, 142 stays) and $11,875 per outpatient case (APC 5115, 634 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,543, 5.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Seaside Surgery Center, an orthopedic surgery center 7.5 mi away, is paid about $8,313 by Medicare for a knee replacement (CPT 27447), $5,703 less than an inpatient stay at Naples Community Hospital. Not every patient is a surgery-center candidate.
Medicare paid Naples Community Hospital less than 69% of the 88 Florida hospitals that report inpatient hip or knee replacement.