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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,516 | 1.0× | $10,470–$44,380 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $44,380 | 2.9× | 1 |
| Oscar | $19,356 | 1.3× | 1 |
| UnitedHealthcare | $16,961 | 1.1× | 1 |
| Smarthealth | $16,936 | 1.1× | 1 |
| Facility Billing - Op | $12,097 | 0.8× | 1 |
| Florida Blue | $12,024 | 0.8× | 1 |
| Pcc Employee | $10,815 | 0.7× | 1 |
| Cigna | $10,470 | 0.7× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Ascension Sacred Heart Pensacola for an inpatient hip or knee replacement stay was $15,134 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Ascension Sacred Heart Pensacola's average total payment per Medicare stay is lower than 51% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $14,516 across 8 insurers, ranging from $10,470 to $44,380.