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Boca Raton Regional Hospital: what a joint replacement costs

Boca Raton, FL 33486 · CMS Certification Number 100168. 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
$8,612
Boca Raton Outpatient Surgery & Laser Center, 2.0 mi
Outpatient here
$11,839
272 Medicare cases, APC 5115
Inpatient here
$14,385
41 Medicare stays, MS-DRG 470

Medicare prices at Boca Raton Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,385$121,7698.5×$11,839
Shoulder replacement$20,076$204,31610.2×$16,845
Hip replacement after a fracture (DRG 522)$16,043$106,1126.6×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 400 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Boca Raton Regional Hospital for a knee or hip replacement?

In 2024 Medicare paid Boca Raton Regional Hospital an average of $14,385 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $11,839 per outpatient case (APC 5115, 272 cases).

What is Boca Raton Regional Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $121,769, 8.5× what Medicare paid. 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 Boca Raton Regional Hospital?

Yes for Medicare facility payments. Boca Raton Outpatient Surgery & Laser Center, an orthopedic surgery center 2.0 mi away, is paid about $8,612 by Medicare for a knee replacement (CPT 27447), $5,773 less than an inpatient stay at Boca Raton Regional Hospital. Not every patient is a surgery-center candidate.

How does Boca Raton Regional Hospital compare with other Florida hospitals?

Medicare paid Boca Raton Regional Hospital less than 60% of the 88 Florida hospitals that report inpatient hip or knee replacement.