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Hca Florida Memorial Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,411
First Coast Orthopedic Center , same ZIP
Outpatient here
$11,906
Medicare allowed amount, 43 cases, APC 5115
Inpatient here
$25,174
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$25,174$237,2179.4×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,394$252,22615.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,3710.8×$16,394–$58,61114
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$58,6112.3×1
Cigna$52,9182.1×1
Florida Blue$35,1121.4×1
Aetna$32,5481.3×1
Centurion$23,9361.0×1
Corizon$22,0680.9×1
NDMS Definitive Care$21,2200.8×1
Gold Kidney$19,5220.8×1
Oscar$18,8740.7×1
Florida Complete Care$18,3340.7×1
Optimum Healthcare$17,6550.7×1
Humana$17,1450.7×1
UnitedHealthcare$16,9760.7×1
Simply Healthcare$16,3940.7×1

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.

Quality

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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Questions

How much does Medicare pay Hca Florida Memorial Hospital for a knee or hip replacement?

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).

What is Hca Florida Memorial Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Hca Florida Memorial Hospital?

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.

How does Hca Florida Memorial Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Hca Florida Memorial 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 $20,371 across 14 insurers, ranging from $16,394 to $58,611.