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Santa Rosa Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,004
West Florida Medical Center Clinic Ambulatory Surgical Center, 22.9 mi
Outpatient here
—
Under 11 cases
Inpatient here
$15,006
Avg total payment (incl. patient share), 28 Medicare stays, MS-DRG 470

Medicare prices at Santa Rosa Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,006$126,3528.4×—
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,9762.2×$20,042–$42,4906
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$42,4902.8×1
Oscar$38,0142.5×1
UnitedHealthcare$37,1202.5×1
Florida Blue$28,8311.9×1
NODE US Dept of Labor$23,0541.5×1
GEO Group$20,0421.3×1

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.

Quality

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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Questions

How much does Medicare pay Santa Rosa Medical Center for a knee or hip replacement?

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).

What is Santa Rosa Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Santa Rosa Medical Center?

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.

How does Santa Rosa Medical Center compare with other Florida hospitals?

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.

What do commercial insurers pay Santa Rosa Medical Center 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 $32,976 across 6 insurers, ranging from $20,042 to $42,490.