Price AtlasInteractive atlas · All states · techysurgeon.comJackson Memorial Hospital: what a joint replacement costs
Miami, FL 33136 · CMS Certification Number 100022. 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 Jackson Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $25,737 | $71,818 | 2.8× | $11,730 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $25,722 | $74,709 | 2.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,900 | 1.3× | $18,800–$55,225 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Avmed Comm - All Other Plans | $55,225 | 2.1× | 1 |
| Avmed Select/First Ntwrk | $53,378 | 2.1× | 1 |
| Cigna | $47,535 | 1.8× | 1 |
| Florida Blue | $38,314 | 1.5× | 1 |
| UnitedHealthcare | $36,013 | 1.4× | 1 |
| Claimdoc - All Plans | $32,900 | 1.3× | 1 |
| Oscar | $24,931 | 1.0× | 1 |
| Gold Kidney - All Plans | $21,056 | 0.8× | 1 |
| Longevity Hp - All Plans | $21,056 | 0.8× | 1 |
| Amerihealth Exch - All Other Plans | $20,680 | 0.8× | 1 |
| Preferred Care - All Plans | $18,800 | 0.7× | 1 |
From the hospital's price-transparency file (2026-09-23); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-23); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 1 of 5 stars. Government · Acute · 2255 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Jackson Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Jackson Memorial Hospital for an inpatient hip or knee replacement stay was $25,737 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,730 per outpatient case (APC 5115, 99 cases).
What is Jackson Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $71,818, 2.8× 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 Jackson Memorial Hospital?
Yes for Medicare facility payments. Coral Gables Surgery Center, an orthopedic surgery center 4.2 mi away, is paid about $8,709 by Medicare for a knee replacement (CPT 27447), $17,028 less than an inpatient stay at Jackson Memorial Hospital. Not every patient is a surgery-center candidate.
How does Jackson Memorial Hospital compare with other Florida hospitals?
Jackson Memorial Hospital's average total payment per Medicare stay is higher than 100% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Jackson Memorial Hospital 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 $32,900 across 11 insurers, ranging from $18,800 to $55,225.