Gainesville, FL 32610 · CMS Certification Number 100113. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,702 | $105,264 | 5.3× | $11,156 |
| Shoulder replacement | $24,186 | $102,984 | 4.3× | $16,637 |
| Hip replacement after a fracture (DRG 522) | $22,646 | $109,167 | 4.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,153 | 1.4× | $19,320–$43,083 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $43,083 | 2.2× | 1 |
| Florida Blue | $32,195 | 1.6× | 1 |
| Florida Health Care Plan | $30,670 | 1.6× | 1 |
| Avmed | $27,153 | 1.4× | 1 |
| Positive Healthcare Partners | $21,252 | 1.1× | 1 |
| UnitedHealthcare | $19,320 | 1.0× | 1 |
| Vha | $19,320 | 1.0× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 7.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 1054 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Uf Health Shands Hospital for an inpatient hip or knee replacement stay was $19,702 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,156 per outpatient case (APC 5115, 169 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,264, 5.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Florida Surgical Pavilion, an orthopedic surgery center 3.2 mi away, is paid about $8,416 by Medicare for a knee replacement (CPT 27447), $11,286 less than an inpatient stay at Uf Health Shands Hospital. Not every patient is a surgery-center candidate.
Uf Health Shands Hospital's average total payment per Medicare stay is higher than 95% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,153 across 7 insurers, ranging from $19,320 to $43,083.