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Baptist Medical Center - Beaches: what a joint replacement costs

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.

Surgery center nearby
$8,411
Jacksonville Beach Surgery Center, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 130 cases, APC 5115
Inpatient here
$14,352
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Baptist Medical Center - Beaches

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,352$129,6589.0×$11,906
Shoulder replacement$19,007$110,2985.8×—
Hip replacement after a fracture (DRG 522)$14,369$117,4468.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,3132.4×$25,521–$49,0355
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$49,0353.4×1
AvMed$40,0962.8×1
UnitedHealthcare$34,3132.4×1
Centivo$31,8042.2×1
Florida Blue$25,5211.8×1

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.

Quality

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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Questions

How much does Medicare pay Baptist Medical Center - Beaches for a knee or hip replacement?

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).

What is Baptist Medical Center - Beaches's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Baptist Medical Center - Beaches?

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.

How does Baptist Medical Center - Beaches compare with other Florida hospitals?

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.

What do commercial insurers pay Baptist Medical Center - Beaches for a 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.