Clermont, FL 34711 · CMS Certification Number 100051. 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 | $14,896 | $149,521 | 10.0× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,689 | $184,643 | 12.6× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 7.6%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 235 beds
Florida has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Florida hospitals
In 2024 Medicare paid Orlando Health South Lake Hospital an average of $14,896 per inpatient hip or knee replacement stay (MS-DRG 470, 45 stays) and $11,906 per outpatient case (APC 5115, 58 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $149,521, 10.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Clermont Ambulatory Surgical Center Lllp, an orthopedic surgery center same ZIP away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $6,457 less than an inpatient stay at Orlando Health South Lake Hospital. Not every patient is a surgery-center candidate.
Medicare paid Orlando Health South Lake Hospital less than 55% of the 88 Florida hospitals that report inpatient hip or knee replacement.