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Mayo Clinic: what a joint replacement costs

Jacksonville, FL 32224 · CMS Certification Number 100151. 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
$8,411
River City Surgery Center, same ZIP
Outpatient here
$11,822
862 Medicare cases, APC 5115
Inpatient here
$18,793
26 Medicare stays, MS-DRG 470

Medicare prices at Mayo Clinic

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,793$72,4403.9×$11,822
Shoulder replacement$22,934$92,8524.0×$16,663
Hip replacement after a fracture (DRG 522)$20,897$71,1803.4×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 434 beds

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

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Questions

How much does Medicare pay Mayo Clinic for a knee or hip replacement?

In 2024 Medicare paid Mayo Clinic an average of $18,793 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $11,822 per outpatient case (APC 5115, 862 cases).

What is Mayo Clinic's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,440, 3.9× what Medicare paid. 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 Mayo Clinic?

Yes for Medicare facility payments. River City Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $10,382 less than an inpatient stay at Mayo Clinic. Not every patient is a surgery-center candidate.

How does Mayo Clinic compare with other Florida hospitals?

Medicare paid Mayo Clinic more than 91% of the 88 Florida hospitals that report inpatient hip or knee replacement.