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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,379 | $185,895 | 13.9× | $11,906 |
| Shoulder replacement | $18,777 | $197,617 | 10.5× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,255 | $203,127 | 14.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,884 | 1.4× | $15,828–$55,720 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 4.2× | 1 |
| Cigna | $43,537 | 3.3× | 1 |
| Aetna | $37,494 | 2.8× | 1 |
| Florida Blue | $35,779 | 2.7× | 1 |
| Truli | $34,238 | 2.6× | 1 |
| UnitedHealthcare | $28,828 | 2.2× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.7× | 1 |
| Oscar | $20,358 | 1.5× | 1 |
| Centurion | $17,410 | 1.3× | 1 |
| Doctors Healthcare Plan | $17,094 | 1.3× | 1 |
| Secur | $17,094 | 1.3× | 1 |
| Simply Healthcare | $16,872 | 1.3× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $15,986 | 1.2× | 1 |
| Optimum Healthcare | $15,986 | 1.2× | 1 |
| Humana | $15,962 | 1.2× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $15,828 | 1.2× | 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.
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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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).
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.
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.
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.
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.