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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,693 | $156,193 | 8.8× | $11,532 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $19,780 | $197,989 | 10.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,913 | 1.2× | $15,427–$50,671 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $50,671 | 2.9× | 1 |
| Aetna | $45,514 | 2.6× | 1 |
| Cigna | $31,041 | 1.8× | 1 |
| Florida Blue | $29,446 | 1.7× | 1 |
| NDMS Definitive Care | $24,901 | 1.4× | 1 |
| Freedom Health | $22,709 | 1.3× | 1 |
| Optimum | $22,709 | 1.3× | 1 |
| Centurion | $21,913 | 1.2× | 1 |
| AIDS Healthcare | $21,713 | 1.2× | 1 |
| Simply Healthcare Plans | $21,514 | 1.2× | 1 |
| Humana | $21,215 | 1.2× | 1 |
| Health Sun Health Plan | $20,717 | 1.2× | 1 |
| UnitedHealthcare | $19,921 | 1.1× | 1 |
| Oscar | $15,709 | 0.9× | 1 |
| Simply Healthcare | $15,427 | 0.9× | 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.
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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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).
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.
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.
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.
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.