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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Ascension St Vincent's Riverside an average of $14,216 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,821 per outpatient case (APC 5115, 241 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $128,905, 9.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Ascension St Vincent's Riverside less than 65% of the 88 Florida hospitals that report inpatient hip or knee replacement.