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Hca Florida Citrus Hospital: what a joint replacement costs

Inverness, FL 34452 · CMS Certification Number 100023. 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
$8,410
Citrus Surgery Center, 7.5 mi
Outpatient here
$11,906
28 Medicare cases, APC 5115
Inpatient here
$16,335
27 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Citrus Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,335$196,55012.0×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$17,890$213,32911.9×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 204 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Hca Florida Citrus Hospital for a knee or hip replacement?

In 2024 Medicare paid Hca Florida Citrus Hospital an average of $16,335 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $11,906 per outpatient case (APC 5115, 28 cases).

What is Hca Florida Citrus Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $196,550, 12.0× 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 Hca Florida Citrus Hospital?

Yes for Medicare facility payments. Citrus Surgery Center, an orthopedic surgery center 7.5 mi away, is paid about $8,410 by Medicare for a knee replacement (CPT 27447), $7,925 less than an inpatient stay at Hca Florida Citrus Hospital. Not every patient is a surgery-center candidate.

How does Hca Florida Citrus Hospital compare with other Florida hospitals?

Medicare paid Hca Florida Citrus Hospital more than 69% of the 88 Florida hospitals that report inpatient hip or knee replacement.