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Lower Keys Medical Center: what a joint replacement costs

Key West, FL 33040 · CMS Certification Number 100150. 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
$8,265
Surgery Center of Key West, same ZIP
Outpatient here
$12,749
Medicare allowed amount, 24 cases, APC 5115
Inpatient here
$19,826
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Lower Keys Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,826$149,4257.5×$12,749
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,7491.4×$21,510–$28,2893
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Florida Blue$28,2891.4×1
NODE US Dept of Labor$27,7491.4×1
Correct Care Solutions$21,5101.1×1

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: 4.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 167 beds

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

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Questions

How much does Medicare pay Lower Keys Medical Center for a knee or hip replacement?

In 2024 the average total payment to Lower Keys Medical Center for an inpatient hip or knee replacement stay was $19,826 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,749 per outpatient case (APC 5115, 24 cases).

What is Lower Keys Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $149,425, 7.5× 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 Lower Keys Medical Center?

Yes for Medicare facility payments. Surgery Center of Key West, an orthopedic surgery center same ZIP away, is paid about $8,265 by Medicare for a knee replacement (CPT 27447), $11,561 less than an inpatient stay at Lower Keys Medical Center. Not every patient is a surgery-center candidate.

How does Lower Keys Medical Center compare with other Florida hospitals?

Lower Keys Medical Center's average total payment per Medicare stay is higher than 97% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Lower Keys 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 $27,749 across 3 insurers, ranging from $21,510 to $28,289.