Jacksonville, FL 32216 · CMS Certification Number 100179. 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 | $25,174 | $237,217 | 9.4× | $11,906 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,394 | $252,226 | 15.4× | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 454 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Memorial Hospital an average of $25,174 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,906 per outpatient case (APC 5115, 43 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $237,217, 9.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. First Coast Orthopedic Center , an orthopedic surgery center same ZIP away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $16,763 less than an inpatient stay at Hca Florida Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Memorial Hospital more than 99% of the 88 Florida hospitals that report inpatient hip or knee replacement.