Milton, FL 32570 · CMS Certification Number 100124. 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 | $15,006 | $126,352 | 8.4× | — |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,976 | 2.2× | $20,042–$42,490 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $42,490 | 2.8× | 1 |
| Oscar | $38,014 | 2.5× | 1 |
| UnitedHealthcare | $37,120 | 2.5× | 1 |
| Florida Blue | $28,831 | 1.9× | 1 |
| NODE US Dept of Labor | $23,054 | 1.5× | 1 |
| GEO Group | $20,042 | 1.3× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 129 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 Santa Rosa Medical Center for an inpatient hip or knee replacement stay was $15,006 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $126,352, 8.4× 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. West Florida Medical Center Clinic Ambulatory Surgical Center, an orthopedic surgery center 22.9 mi away, is paid about $8,004 by Medicare for a knee replacement (CPT 27447), $7,002 less than an inpatient stay at Santa Rosa Medical Center. Not every patient is a surgery-center candidate.
Santa Rosa Medical Center's average total payment per Medicare stay is lower than 53% 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 $32,976 across 6 insurers, ranging from $20,042 to $42,490.