Price AtlasInteractive atlas · All states · techysurgeon.comHolmes Regional Medical Center: what a joint replacement costs
Melbourne, FL 32901 · CMS Certification Number 100019. 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 Holmes Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,743 | $112,880 | 8.2× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $15,258 | $115,951 | 7.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,450 | 3.2× | $15,629–$52,385 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $52,385 | 3.8× | 1 |
| Cigna | $47,999 | 3.5× | 1 |
| Florida Blue | $45,285 | 3.3× | 1 |
| UnitedHealthcare | $43,614 | 3.2× | 1 |
| Florida Healthcare Plans | $34,922 | 2.5× | 1 |
| Corizon Health | $15,629 | 1.1× | 1 |
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 514 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Holmes Regional Medical Center for a knee or hip replacement?
In 2024 the average total payment to Holmes Regional Medical Center for an inpatient hip or knee replacement stay was $13,743 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 196 cases).
What is Holmes Regional Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,880, 8.2× 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 Holmes Regional Medical Center?
Yes for Medicare facility payments. Melbourne Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,450 by Medicare for a knee replacement (CPT 27447), $5,293 less than an inpatient stay at Holmes Regional Medical Center. Not every patient is a surgery-center candidate.
How does Holmes Regional Medical Center compare with other Florida hospitals?
Holmes Regional Medical Center's average total payment per Medicare stay is lower than 75% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Holmes Regional 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 $44,450 across 6 insurers, ranging from $15,629 to $52,385.