Stuart, FL 34994 · CMS Certification Number 100044. 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 | $12,616 | $75,738 | 6.0× | $11,906 |
| Shoulder replacement | — | — | — | $16,596 |
| Hip replacement after a fracture (DRG 522) | $13,768 | $78,602 | 5.7× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 521 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Cleveland Clinic Martin North Hospital an average of $12,616 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,906 per outpatient case (APC 5115, 234 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,738, 6.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Surgery Center at Jensen Beach, an orthopedic surgery center 5.3 mi away, is paid about $8,403 by Medicare for a knee replacement (CPT 27447), $4,213 less than an inpatient stay at Cleveland Clinic Martin North Hospital. Not every patient is a surgery-center candidate.
Medicare paid Cleveland Clinic Martin North Hospital less than 91% of the 88 Florida hospitals that report inpatient hip or knee replacement.