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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,371 | 0.8× | $16,394–$58,611 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $58,611 | 2.3× | 1 |
| Cigna | $52,918 | 2.1× | 1 |
| Florida Blue | $35,112 | 1.4× | 1 |
| Aetna | $32,548 | 1.3× | 1 |
| Centurion | $23,936 | 1.0× | 1 |
| Corizon | $22,068 | 0.9× | 1 |
| NDMS Definitive Care | $21,220 | 0.8× | 1 |
| Gold Kidney | $19,522 | 0.8× | 1 |
| Oscar | $18,874 | 0.7× | 1 |
| Florida Complete Care | $18,334 | 0.7× | 1 |
| Optimum Healthcare | $17,655 | 0.7× | 1 |
| Humana | $17,145 | 0.7× | 1 |
| UnitedHealthcare | $16,976 | 0.7× | 1 |
| Simply Healthcare | $16,394 | 0.7× | 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.
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.
Open the interactive price tagBuild a reportAll Florida hospitals
In 2024 the average total payment to Hca Florida Memorial Hospital for an inpatient hip or knee replacement stay was $25,174 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Hca Florida Memorial Hospital's average total payment per Medicare stay is higher than 99% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,371 across 14 insurers, ranging from $16,394 to $58,611.