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Baptist 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.

Surgery center nearby
$8,004
Cornerstone Surgicare , same ZIP
Outpatient here
$11,653
359 Medicare cases, APC 5115
Inpatient here
$14,203
61 Medicare stays, MS-DRG 470

Medicare prices at Baptist Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,203$115,9098.2×$11,653
Shoulder replacement———$15,950
Hip replacement after a fracture (DRG 522)$15,984$137,7238.6×—

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 Medicare paid Baptist Hospital an average of $14,203 per inpatient hip or knee replacement stay (MS-DRG 470, 61 stays) and $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× what Medicare paid. 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?

Medicare paid Baptist Hospital less than 67% of the 88 Florida hospitals that report inpatient hip or knee replacement.