Jacksonville, FL 32207 · CMS Certification Number 100088. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,838 | $108,290 | 6.8× | $11,705 |
| Shoulder replacement | $20,589 | $112,476 | 5.5× | $16,634 |
| Hip replacement after a fracture (DRG 522) | $16,652 | $104,340 | 6.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,389 | 2.1× | $25,521–$48,109 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $48,109 | 3.0× | 1 |
| Aetna | $47,237 | 3.0× | 1 |
| Innovative Healthware Services | $33,437 | 2.1× | 1 |
| UnitedHealthcare | $33,341 | 2.1× | 1 |
| Centivo | $31,804 | 2.0× | 1 |
| Florida Blue | $25,521 | 1.6× | 1 |
From the hospital's price-transparency file (2026-02-06); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-06); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1229 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Baptist Medical Center Jacksonville for an inpatient hip or knee replacement stay was $15,838 (MS-DRG 470, 49 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,705 per outpatient case (APC 5115, 766 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,290, 6.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. First Coast Orthopedic Center , an orthopedic surgery center 3.6 mi away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $7,427 less than an inpatient stay at Baptist Medical Center Jacksonville. Not every patient is a surgery-center candidate.
Baptist Medical Center Jacksonville's average total payment per Medicare stay is higher than 60% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $33,389 across 6 insurers, ranging from $25,521 to $48,109.