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Jackson 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.

Surgery center nearby
$8,709
Coral Gables Surgery Center, 4.2 mi
Outpatient here
$11,730
99 Medicare cases, APC 5115
Inpatient here
$25,737
11 Medicare stays, MS-DRG 470

Medicare prices at Jackson Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$25,737$71,8182.8×$11,730
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$25,722$74,7092.9×—

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 Medicare paid Jackson Memorial Hospital an average of $25,737 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $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× 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 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?

Medicare paid Jackson Memorial Hospital more than 100% of the 88 Florida hospitals that report inpatient hip or knee replacement.