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Hca Florida Lake City Hospital: what a joint replacement costs

Lake City, FL 32055 · CMS Certification Number 100156. 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
North Florida Surgery Center, 12.0 mi
Outpatient here
$12,749
Medicare allowed amount, 68 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Hca Florida Lake City Hospital

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

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,636—$15,119–$55,35812
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$55,358—1
Florida Blue$51,342—1
AvMed$46,739—1
Aetna$33,667—1
Evolutions$31,262—1
UnitedHealthcare$28,390—1
NDMS Definitive Care$18,881—1
Centurion$16,615—1
Oscar$15,979—1
Simply$15,860—1
Humana$15,256—1
Simply Healthcare$15,119—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

Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 141 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 Lake City Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $12,749 per outpatient hip or knee replacement case (APC 5115, 68 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Hca Florida Lake City Hospital?

Yes for Medicare facility payments. North Florida Surgery Center, an orthopedic surgery center 12.0 mi away, is paid about $8,265 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Hca Florida Lake City 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 $23,636 across 12 insurers, ranging from $15,119 to $55,358.