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Orlando Health South Lake Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,439
Clermont Ambulatory Surgical Center Lllp, same ZIP
Outpatient here
$11,906
58 Medicare cases, APC 5115
Inpatient here
$14,896
45 Medicare stays, MS-DRG 470

Medicare prices at Orlando Health South Lake Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,896$149,52110.0×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$14,689$184,64312.6×—

Quality

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.

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Questions

How much does Medicare pay Orlando Health South Lake Hospital for a knee or hip replacement?

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).

What is Orlando Health South Lake Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Orlando Health South Lake Hospital?

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.

How does Orlando Health South Lake Hospital compare with other Florida hospitals?

Medicare paid Orlando Health South Lake Hospital less than 55% of the 88 Florida hospitals that report inpatient hip or knee replacement.