Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida Mercy Hospital: what a joint replacement costs
Miami, FL 33133 · CMS Certification Number 100167. 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 Mercy 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 | $21,640 | — | $15,709–$50,671 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $50,671 | — | 1 |
| Aetna | $45,514 | — | 1 |
| Cigna | $31,041 | — | 1 |
| Florida Blue | $27,730 | — | 1 |
| NDMS Definitive Care | $24,153 | — | 1 |
| Freedom Health | $22,027 | — | 1 |
| Optimum | $22,027 | — | 1 |
| Centurion | $21,254 | — | 1 |
| AIDS Healthcare | $21,061 | — | 1 |
| Simply Healthcare Plans | $20,481 | — | 1 |
| Health Sun Health Plan | $19,322 | — | 1 |
| UnitedHealthcare | $19,322 | — | 1 |
| Humana | $18,936 | — | 1 |
| Oscar | $15,709 | — | 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: 3.1% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 488 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 Mercy Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,906 per outpatient hip or knee replacement case (APC 5115, 47 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Hca Florida Mercy Hospital?
Yes for Medicare facility payments. Coral Gables Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,709 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Hca Florida Mercy 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 $21,640 across 14 insurers, ranging from $15,709 to $50,671.