Price AtlasInteractive atlas · All states · techysurgeon.comAscension St Vincent's Riverside: what a joint replacement costs
Jacksonville, FL 32204 · CMS Certification Number 100040. 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 Ascension St Vincent's Riverside
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,216 | $128,905 | 9.1× | $11,821 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $15,308 | $108,104 | 7.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,250 | 1.4× | $8,850–$31,185 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $31,185 | 2.2× | 1 |
| Aetna | $23,937 | 1.7× | 1 |
| 90 Degree Benefits | $21,018 | 1.5× | 1 |
| Employer Direct Healthcare | $20,434 | 1.4× | 1 |
| Northwell Direct | $20,000 | 1.4× | 1 |
| UnitedHealthcare | $19,683 | 1.4× | 1 |
| Cigna | $19,250 | 1.4× | 1 |
| Oscar | $18,682 | 1.3× | 1 |
| Smarthealth | $16,347 | 1.1× | 1 |
| Humana | $16,012 | 1.1× | 1 |
| Avmed Empower | $14,888 | 1.0× | 1 |
| North Florida Surgeons | $10,000 | 0.7× | 1 |
| Coventry HMO | $8,850 | 0.6× | 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: 4.1% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 584 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 St Vincent's Riverside for a knee or hip replacement?
In 2024 the average total payment to Ascension St Vincent's Riverside for an inpatient hip or knee replacement stay was $14,216 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,821 per outpatient case (APC 5115, 241 cases).
What is Ascension St Vincent's Riverside's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $128,905, 9.1× 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 St Vincent's Riverside?
Yes for Medicare facility payments. First Coast Orthopedic Center , an orthopedic surgery center 6.4 mi away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $5,805 less than an inpatient stay at Ascension St Vincent's Riverside. Not every patient is a surgery-center candidate.
How does Ascension St Vincent's Riverside compare with other Florida hospitals?
Ascension St Vincent's Riverside's average total payment per Medicare stay is lower than 65% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Ascension St Vincent's Riverside 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 $19,250 across 13 insurers, ranging from $8,850 to $31,185.