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Holmes 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.

Surgery center nearby
$8,450
Melbourne Surgery Center, same ZIP
Outpatient here
$11,906
196 Medicare cases, APC 5115
Inpatient here
$13,743
39 Medicare stays, MS-DRG 470

Medicare prices at Holmes Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,743$112,8808.2×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$15,258$115,9517.6×—

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 Medicare paid Holmes Regional Medical Center an average of $13,743 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $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× 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 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?

Medicare paid Holmes Regional Medical Center less than 75% of the 88 Florida hospitals that report inpatient hip or knee replacement.