Atlantis, FL 33462 · CMS Certification Number 100080. 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 | $16,852 | $199,406 | 11.8× | $11,870 |
| Shoulder replacement | $19,951 | $250,492 | 12.6× | $16,614 |
| Hip replacement after a fracture (DRG 522) | $16,413 | $245,848 | 15.0× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 796 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Jfk Hospital an average of $16,852 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $11,870 per outpatient case (APC 5115, 284 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $199,406, 11.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Palm Beach Outpatient Surgery Center, an orthopedic surgery center 6.5 mi away, is paid about $8,612 by Medicare for a knee replacement (CPT 27447), $8,240 less than an inpatient stay at Hca Florida Jfk Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Jfk Hospital more than 74% of the 88 Florida hospitals that report inpatient hip or knee replacement.