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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,350 | $68,432 | 5.1× | $11,838 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,366 | $60,085 | 4.2× | — |
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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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).
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.
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.
Medicare paid Cleveland Clinic Indian River Hospital less than 80% of the 88 Florida hospitals that report inpatient hip or knee replacement.