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Flagler Hospital: what a joint replacement costs

Saint Augustine, FL 32086 · CMS Certification Number 100090. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,603
Medicare allowed amount, 360 cases, APC 5115
Inpatient here
$15,083
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Flagler Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,083$55,9383.7×$12,603
Shoulder replacement———$18,039
Hip replacement after a fracture (DRG 522)$17,117$68,7264.0×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 335 beds

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

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Questions

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

In 2024 the average total payment to Flagler Hospital for an inpatient hip or knee replacement stay was $15,083 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,603 per outpatient case (APC 5115, 360 cases).

What is Flagler Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,938, 3.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Flagler Hospital compare with other Florida hospitals?

Flagler Hospital's average total payment per Medicare stay is lower than 52% of the 88 Florida hospitals that report inpatient hip or knee replacement.