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Hca Florida Jfk Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,612
Palm Beach Outpatient Surgery Center, 6.5 mi
Outpatient here
$11,870
Medicare allowed amount, 284 cases, APC 5115
Inpatient here
$16,852
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Jfk Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,852$199,40611.8×$11,870
Shoulder replacement$19,951$250,49212.6×$16,614
Hip replacement after a fracture (DRG 522)$16,413$245,84815.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,4891.1×$15,427–$50,14815
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$50,1483.0×1
Aetna$45,5142.7×1
Cigna$31,0411.8×1
Florida Blue$29,4461.7×1
NDMS Definitive Care$21,3991.3×1
Centurion$18,8311.1×1
AIDS Healthcare$18,6601.1×1
Simply Healthcare Plans$18,4891.1×1
Freedom Health$18,1461.1×1
Optimum$18,1461.1×1
Health Sun Health Plan$17,8041.1×1
UnitedHealthcare$17,1191.0×1
Humana$16,8621.0×1
Oscar$15,7090.9×1
Simply Healthcare$15,4270.9×1

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

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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Questions

How much does Medicare pay Hca Florida Jfk Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Jfk Hospital for an inpatient hip or knee replacement stay was $16,852 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,870 per outpatient case (APC 5115, 284 cases).

What is Hca Florida Jfk Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $199,406, 11.8× the average total payment for a Medicare stay. 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 Hca Florida Jfk Hospital?

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.

How does Hca Florida Jfk Hospital compare with other Florida hospitals?

Hca Florida Jfk Hospital's average total payment per Medicare stay is higher than 74% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Jfk 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 $18,489 across 15 insurers, ranging from $15,427 to $50,148.