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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Hca Florida Sarasota Doctors Hospital an average of $13,379 per inpatient hip or knee replacement stay (MS-DRG 470, 141 stays) and $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× what Medicare paid. 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.
Medicare paid Hca Florida Sarasota Doctors Hospital less than 78% of the 88 Florida hospitals that report inpatient hip or knee replacement.