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Morton Plant Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,501
Belleair Surgery Center, same ZIP
Outpatient here
$11,824
Medicare allowed amount, 876 cases, APC 5115
Inpatient here
$14,272
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Morton Plant Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,272$96,2726.7×$11,824
Shoulder replacement$18,799$132,5157.0×$16,845
Hip replacement after a fracture (DRG 522)$16,612$100,2256.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,1132.7×$19,918–$48,5547
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$48,5543.4×1
UnitedHealthcare$46,7433.3×1
Florida Blue$38,5772.7×1
AvMed$38,1132.7×1
Aetna$35,3532.5×1
Evolutions$20,8651.5×1
Humana$19,9181.4×1

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.

Quality

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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Questions

How much does Medicare pay Morton Plant Hospital for a knee or hip replacement?

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).

What is Morton Plant Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Morton Plant Hospital?

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.

How does Morton Plant Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Morton Plant Hospital 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 $38,113 across 7 insurers, ranging from $19,918 to $48,554.