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Naples Community Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,313
Seaside Surgery Center, 7.5 mi
Outpatient here
$11,875
634 Medicare cases, APC 5115
Inpatient here
$14,016
142 Medicare stays, MS-DRG 470

Medicare prices at Naples Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,016$77,5435.5×$11,875
Shoulder replacement$19,415$101,8605.2×$16,674
Hip replacement after a fracture (DRG 522)$15,630$86,7065.5×—

Quality

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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Questions

How much does Medicare pay Naples Community Hospital for a knee or hip replacement?

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).

What is Naples Community Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Naples Community Hospital?

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.

How does Naples Community Hospital compare with other Florida hospitals?

Medicare paid Naples Community Hospital less than 69% of the 88 Florida hospitals that report inpatient hip or knee replacement.