Dunedin, FL 34698 · CMS Certification Number 100043. 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 | — | — | — | $11,843 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $15,502 | $111,087 | 7.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,113 | — | $19,918–$48,554 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $48,554 | — | 1 |
| UnitedHealthcare | $46,743 | — | 1 |
| Florida Blue | $38,577 | — | 1 |
| AvMed | $38,113 | — | 1 |
| Aetna | $35,353 | — | 1 |
| Evolutions | $20,865 | — | 1 |
| Humana | $19,918 | — | 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: 3.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 507 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $11,843 per outpatient hip or knee replacement case (APC 5115, 160 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Surgcenter Dunedin, an orthopedic surgery center same ZIP away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,113 across 7 insurers, ranging from $19,918 to $48,554.