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Cleveland Clinic Indian River Hospital: what a joint replacement costs

Vero Beach, FL 32960 · CMS Certification Number 100105. 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
$8,092
The Advanced Center for Surgery, same ZIP
Outpatient here
$11,838
280 Medicare cases, APC 5115
Inpatient here
$13,350
15 Medicare stays, MS-DRG 470

Medicare prices at Cleveland Clinic Indian River Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,350$68,4325.1×$11,838
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$14,366$60,0854.2×—

Quality

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 · 332 beds

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

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Questions

How much does Medicare pay Cleveland Clinic Indian River Hospital for a knee or hip replacement?

In 2024 Medicare paid Cleveland Clinic Indian River Hospital an average of $13,350 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,838 per outpatient case (APC 5115, 280 cases).

What is Cleveland Clinic Indian River Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,432, 5.1× 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 Cleveland Clinic Indian River Hospital?

Yes for Medicare facility payments. The Advanced Center for Surgery, an orthopedic surgery center same ZIP away, is paid about $8,092 by Medicare for a knee replacement (CPT 27447), $5,258 less than an inpatient stay at Cleveland Clinic Indian River Hospital. Not every patient is a surgery-center candidate.

How does Cleveland Clinic Indian River Hospital compare with other Florida hospitals?

Medicare paid Cleveland Clinic Indian River Hospital less than 80% of the 88 Florida hospitals that report inpatient hip or knee replacement.