Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida Highlands Hospital: what a joint replacement costs
Sebring, FL 33870 · CMS Certification Number 100049. 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 Hca Florida Highlands Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,767 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,017 | $199,212 | 14.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,304 | — | $15,735–$56,343 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $56,343 | — | 1 |
| AvMed | $54,693 | — | 1 |
| Cigna | $33,854 | — | 1 |
| Florida Blue | $32,988 | — | 1 |
| UnitedHealthcare | $32,405 | — | 1 |
| Simply Healthcare | $27,304 | — | 1 |
| Oscar | $25,313 | — | 1 |
| NDMS Definitive Care | $18,913 | — | 1 |
| Centurion | $16,643 | — | 1 |
| Humana | $15,887 | — | 1 |
| Freedom Health | $15,735 | — | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 126 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Hca Florida Highlands Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,767 per outpatient hip or knee replacement case (APC 5115, 74 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Hca Florida Highlands Hospital 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 $27,304 across 11 insurers, ranging from $15,735 to $56,343.