Palm Beach Gardens, FL 33410 · CMS Certification Number 100176. 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 | $12,536 | $206,570 | 16.5× | $11,513 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,159 | $226,540 | 16.0× | — |
Complications after hip or knee replacement: 5.7% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 199 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Palm Beach Gardens Medical Center an average of $12,536 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,513 per outpatient case (APC 5115, 209 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $206,570, 16.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Laser & Surgery Center of the Palm Beaches, an orthopedic surgery center same ZIP away, is paid about $8,612 by Medicare for a knee replacement (CPT 27447), $3,924 less than an inpatient stay at Palm Beach Gardens Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Palm Beach Gardens Medical Center less than 93% of the 88 Florida hospitals that report inpatient hip or knee replacement.