Clearwater, FL 33756 · CMS Certification Number 100127. 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 | $14,272 | $96,272 | 6.7× | $11,824 |
| Shoulder replacement | $18,799 | $132,515 | 7.0× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $16,612 | $100,225 | 6.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,113 | 2.7× | $19,918–$48,554 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $48,554 | 3.4× | 1 |
| UnitedHealthcare | $46,743 | 3.3× | 1 |
| Florida Blue | $38,577 | 2.7× | 1 |
| AvMed | $38,113 | 2.7× | 1 |
| Aetna | $35,353 | 2.5× | 1 |
| Evolutions | $20,865 | 1.5× | 1 |
| Humana | $19,918 | 1.4× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 687 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 Morton Plant Hospital for an inpatient hip or knee replacement stay was $14,272 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,824 per outpatient case (APC 5115, 876 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,272, 6.7× 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. Belleair Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $5,771 less than an inpatient stay at Morton Plant Hospital. Not every patient is a surgery-center candidate.
Morton Plant Hospital's average total payment per Medicare stay is lower than 63% 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 $38,113 across 7 insurers, ranging from $19,918 to $48,554.