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Winter Haven Hospital: what a joint replacement costs

Winter Haven, FL 33881 · CMS Certification Number 100052. 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
$8,282
Winter Haven Ambulatory Surgical Center, same ZIP
Outpatient here
$11,856
Medicare allowed amount, 205 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Winter Haven Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,856
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$16,046$94,2805.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,345—$19,918–$48,5778
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Florida Hospital$48,577—1
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.

Quality

Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 508 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Winter Haven Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,856 per outpatient hip or knee replacement case (APC 5115, 205 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Winter Haven Hospital?

Yes for Medicare facility payments. Winter Haven Ambulatory Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,282 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Winter Haven 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 $38,345 across 8 insurers, ranging from $19,918 to $48,577.