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Hca Florida Sarasota Doctors Hospital: what a joint replacement costs

Sarasota, FL 34233 · CMS Certification Number 100166. 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
$8,669
Doctors Same Day Surgery Center, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 581 cases, APC 5115
Inpatient here
$13,379
Avg total payment (incl. patient share), 141 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Sarasota Doctors Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,379$185,89513.9×$11,906
Shoulder replacement$18,777$197,61710.5×$16,845
Hip replacement after a fracture (DRG 522)$14,255$203,12714.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,8841.4×$15,828–$55,72016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7204.2×1
Cigna$43,5373.3×1
Aetna$37,4942.8×1
Florida Blue$35,7792.7×1
Truli$34,2382.6×1
UnitedHealthcare$28,8282.2×1
Evolutions Healthcare Systems$22,0861.7×1
Oscar$20,3581.5×1
Centurion$17,4101.3×1
Doctors Healthcare Plan$17,0941.3×1
Secur$17,0941.3×1
Simply Healthcare$16,8721.3×1
Access 2 Healthcare Physicians Freedom Health$15,9861.2×1
Optimum Healthcare$15,9861.2×1
Humana$15,9621.2×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$15,8281.2×1

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: 2.5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 155 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 Sarasota Doctors Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Sarasota Doctors Hospital for an inpatient hip or knee replacement stay was $13,379 (MS-DRG 470, 141 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 581 cases).

What is Hca Florida Sarasota Doctors Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $185,895, 13.9× 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 Hca Florida Sarasota Doctors Hospital?

Yes for Medicare facility payments. Doctors Same Day Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447), $4,710 less than an inpatient stay at Hca Florida Sarasota Doctors Hospital. Not every patient is a surgery-center candidate.

How does Hca Florida Sarasota Doctors Hospital compare with other Florida hospitals?

Hca Florida Sarasota Doctors Hospital's average total payment per Medicare stay is lower than 78% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Sarasota Doctors 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 $18,884 across 16 insurers, ranging from $15,828 to $55,720.