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 paid | List price | List ÷ paid | Outpatient 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× | — |
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.
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In 2024 Medicare paid Baptist Medical Center - Beaches an average of $14,352 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $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× what Medicare paid. 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.
Medicare paid Baptist Medical Center - Beaches less than 61% of the 88 Florida hospitals that report inpatient hip or knee replacement.