Jacksonville Beach, FL 32250 · CMS Certification Number 100117. 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 | $14,352 | $129,658 | 9.0× | $11,906 |
| Shoulder replacement | $19,007 | $110,298 | 5.8× | — |
| Hip replacement after a fracture (DRG 522) | $14,369 | $117,446 | 8.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,313 | 2.4× | $25,521–$49,035 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $49,035 | 3.4× | 1 |
| AvMed | $40,096 | 2.8× | 1 |
| UnitedHealthcare | $34,313 | 2.4× | 1 |
| Centivo | $31,804 | 2.2× | 1 |
| Florida Blue | $25,521 | 1.8× | 1 |
From the hospital's price-transparency file (2026-02-06); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-06); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 146 beds
Florida has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Florida hospitals
In 2024 the average total payment to Baptist Medical Center - Beaches for an inpatient hip or knee replacement stay was $14,352 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 130 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $129,658, 9.0× 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. Jacksonville Beach Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $5,941 less than an inpatient stay at Baptist Medical Center - Beaches. Not every patient is a surgery-center candidate.
Baptist Medical Center - Beaches's average total payment per Medicare stay is lower than 61% 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 $34,313 across 5 insurers, ranging from $25,521 to $49,035.