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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,793 | $72,440 | 3.9× | $11,822 |
| Shoulder replacement | $22,934 | $92,852 | 4.0× | $16,663 |
| Hip replacement after a fracture (DRG 522) | $20,897 | $71,180 | 3.4× | — |
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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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).
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.
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.
Medicare paid Mayo Clinic more than 91% of the 88 Florida hospitals that report inpatient hip or knee replacement.