Price AtlasInteractive atlas · All states · techysurgeon.comBaptist Hospital: what a joint replacement costs
Pensacola, FL 32503 · CMS Certification Number 100093. 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.
Medicare prices at Baptist Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,203 | $115,909 | 8.2× | $11,653 |
| Shoulder replacement | — | — | — | $15,950 |
| Hip replacement after a fracture (DRG 522) | $15,984 | $137,723 | 8.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,978 | 1.1× | $10,129–$21,112 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $21,112 | 1.5× | 1 |
| UnitedHealthcare | $15,192 | 1.1× | 1 |
| Pensacola | $14,765 | 1.0× | 1 |
| Humana | $10,129 | 0.7× | 1 |
From the hospital's price-transparency file (2025-12-23); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-23); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 569 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Baptist Hospital for a knee or hip replacement?
In 2024 the average total payment to Baptist Hospital for an inpatient hip or knee replacement stay was $14,203 (MS-DRG 470, 61 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,653 per outpatient case (APC 5115, 359 cases).
What is Baptist Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,909, 8.2× 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 Baptist Hospital?
Yes for Medicare facility payments. Cornerstone Surgicare , an orthopedic surgery center same ZIP away, is paid about $8,004 by Medicare for a knee replacement (CPT 27447), $6,199 less than an inpatient stay at Baptist Hospital. Not every patient is a surgery-center candidate.
How does Baptist Hospital compare with other Florida hospitals?
Baptist Hospital's average total payment per Medicare stay is lower than 67% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Baptist 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 $14,978 across 4 insurers, ranging from $10,129 to $21,112.