Price AtlasInteractive atlas · All states · techysurgeon.comMount Sinai Medical Center of Florida, Inc: what a joint replacement costs
Miami Beach, FL 33140 · CMS Certification Number 100034. 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.
Medicare prices at Mount Sinai Medical Center of Florida, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,026 | $61,522 | 3.6× | $11,730 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $18,805 | $79,444 | 4.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,203 | 1.2× | $12,000–$32,811 | 18 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $32,811 | 1.9× | 1 |
| Humana | $30,842 | 1.8× | 1 |
| Aetna | $24,946 | 1.5× | 1 |
| AvMed Broad Network | $24,945 | 1.5× | 1 |
| Bright Health | $23,084 | 1.4× | 1 |
| UnitedHealthcare | $22,831 | 1.3× | 1 |
| Cigna | $22,721 | 1.3× | 1 |
| AvMed HIX Network | $21,619 | 1.3× | 1 |
| AvMed Select Network | $21,619 | 1.3× | 1 |
| Positive Healthcare of Florida | $20,787 | 1.2× | 1 |
| CarePlus | $18,126 | 1.1× | 1 |
| Leon Health Plans | $17,794 | 1.0× | 1 |
| Leon Medical Center | $17,527 | 1.0× | 1 |
| Clear Spring Health | $16,630 | 1.0× | 1 |
| GEHA Pcip | $16,630 | 1.0× | 1 |
| Health Sun Health Plans | $14,967 | 0.9× | 1 |
| Beech Street (rental network) | $14,500 | 0.9× | 1 |
| Behavioral Services Network | $14,135 | 0.8× | 1 |
| Dimension Health | $12,000 | 0.7× | 1 |
From the hospital's price-transparency file (2026-03-13); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-13); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 672 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mount Sinai Medical Center of Florida, Inc for a knee or hip replacement?
In 2024 the average total payment to Mount Sinai Medical Center of Florida, Inc for an inpatient hip or knee replacement stay was $17,026 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,730 per outpatient case (APC 5115, 108 cases).
What is Mount Sinai Medical Center of Florida, Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,522, 3.6× 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 Mount Sinai Medical Center of Florida, Inc?
Yes for Medicare facility payments. Key Biscayne Surgery Center, an orthopedic surgery center 7.3 mi away, is paid about $8,709 by Medicare for a knee replacement (CPT 27447), $8,317 less than an inpatient stay at Mount Sinai Medical Center of Florida, Inc. Not every patient is a surgery-center candidate.
How does Mount Sinai Medical Center of Florida, Inc compare with other Florida hospitals?
Mount Sinai Medical Center of Florida, Inc's average total payment per Medicare stay is higher than 78% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mount Sinai Medical Center of Florida, Inc 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 $21,203 across 18 insurers, ranging from $12,000 to $32,811.