Pensacola, FL 32504 · CMS Certification Number 100025. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,134 | $84,067 | 5.6× | $11,786 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $17,148 | $94,516 | 5.5× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 547 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Ascension Sacred Heart Pensacola an average of $15,134 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $11,786 per outpatient case (APC 5115, 236 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,067, 5.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Cornerstone Surgicare , an orthopedic surgery center 1.9 mi away, is paid about $8,004 by Medicare for a knee replacement (CPT 27447), $7,130 less than an inpatient stay at Ascension Sacred Heart Pensacola. Not every patient is a surgery-center candidate.
Medicare paid Ascension Sacred Heart Pensacola less than 51% of the 88 Florida hospitals that report inpatient hip or knee replacement.