Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida Lake Monroe Hospital: what a joint replacement costs
Sanford, FL 32771 · CMS Certification Number 100161. 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.
Medicare prices at Hca Florida Lake Monroe Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,906 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,080 | — | $17,775–$59,204 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $59,204 | — | 1 |
| Cigna | $51,371 | — | 1 |
| Aetna | $33,667 | — | 1 |
| Florida Health Care Plan | $32,377 | — | 1 |
| Evolutions | $31,262 | — | 1 |
| UnitedHealthcare | $30,804 | — | 1 |
| Florida Blue | $29,982 | — | 1 |
| Truli | $29,982 | — | 1 |
| Oscar | $26,179 | — | 1 |
| NDMS Definitive Care | $21,365 | — | 1 |
| Simply Healthcare | $18,820 | — | 1 |
| Centurion | $18,801 | — | 1 |
| Seminole County Sheriffs Office | $18,801 | — | 1 |
| Humana | $18,117 | — | 1 |
| Simply | $17,946 | — | 1 |
| Optimum | $17,775 | — | 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
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 221 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 Monroe Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,906 per outpatient hip or knee replacement case (APC 5115, 76 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Hca Florida Lake Monroe Hospital?
Yes for Medicare facility payments. Lake Mary Surgery Center, an orthopedic surgery center 3.7 mi away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Hca Florida Lake Monroe 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 $28,080 across 16 insurers, ranging from $17,775 to $59,204.