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Hca Florida Aventura Hospital: what a joint replacement costs

Aventura, FL 33180 · CMS Certification Number 100131. 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
$8,709
Surgery Center of Aventura, same ZIP
Outpatient here
$11,532
Medicare allowed amount, 27 cases, APC 5115
Inpatient here
$17,693
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Aventura Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,693$156,1938.8×$11,532
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$19,780$197,98910.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,9131.2×$15,427–$50,67115
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$50,6712.9×1
Aetna$45,5142.6×1
Cigna$31,0411.8×1
Florida Blue$29,4461.7×1
NDMS Definitive Care$24,9011.4×1
Freedom Health$22,7091.3×1
Optimum$22,7091.3×1
Centurion$21,9131.2×1
AIDS Healthcare$21,7131.2×1
Simply Healthcare Plans$21,5141.2×1
Humana$21,2151.2×1
Health Sun Health Plan$20,7171.2×1
UnitedHealthcare$19,9211.1×1
Oscar$15,7090.9×1
Simply Healthcare$15,4270.9×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 493 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Hca Florida Aventura Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Aventura Hospital for an inpatient hip or knee replacement stay was $17,693 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,532 per outpatient case (APC 5115, 27 cases).

What is Hca Florida Aventura Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $156,193, 8.8× 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 Hca Florida Aventura Hospital?

Yes for Medicare facility payments. Surgery Center of Aventura, an orthopedic surgery center same ZIP away, is paid about $8,709 by Medicare for a knee replacement (CPT 27447), $8,984 less than an inpatient stay at Hca Florida Aventura Hospital. Not every patient is a surgery-center candidate.

How does Hca Florida Aventura Hospital compare with other Florida hospitals?

Hca Florida Aventura Hospital's average total payment per Medicare stay is higher than 85% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Aventura 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 $21,913 across 15 insurers, ranging from $15,427 to $50,671.