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Ascension Sacred Heart Pensacola: what a joint replacement costs

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.

Surgery center nearby
$8,004
Cornerstone Surgicare , 1.9 mi
Outpatient here
$11,786
Medicare allowed amount, 236 cases, APC 5115
Inpatient here
$15,134
Avg total payment (incl. patient share), 29 Medicare stays, MS-DRG 470

Medicare prices at Ascension Sacred Heart Pensacola

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,134$84,0675.6×$11,786
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$17,148$94,5165.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$14,5161.0×$10,470–$44,3808
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$44,3802.9×1
Oscar$19,3561.3×1
UnitedHealthcare$16,9611.1×1
Smarthealth$16,9361.1×1
Facility Billing - Op$12,0970.8×1
Florida Blue$12,0240.8×1
Pcc Employee$10,8150.7×1
Cigna$10,4700.7×1

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.

Quality

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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Questions

How much does Medicare pay Ascension Sacred Heart Pensacola for a knee or hip replacement?

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).

What is Ascension Sacred Heart Pensacola's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Ascension Sacred Heart Pensacola?

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.

How does Ascension Sacred Heart Pensacola compare with other Florida hospitals?

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.

What do commercial insurers pay Ascension Sacred Heart Pensacola 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 $14,516 across 8 insurers, ranging from $10,470 to $44,380.