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Hca Florida Trinity Hospital: what a joint replacement costs

Trinity, FL 34655 · CMS Certification Number 100191. 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
$8,501
New Port Richey Surgery Center at Trinity, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 55 cases, APC 5115
Inpatient here
$17,528
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Trinity Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,528$241,03213.8×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$19,706$240,07412.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,2861.2×$17,330–$55,72016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7203.2×1
Cigna$45,4702.6×1
Aetna$37,4942.1×1
Florida Blue$31,2521.8×1
UnitedHealthcare$30,2201.7×1
Truli$29,9061.7×1
Evolutions Healthcare Systems$22,0861.3×1
Centurion$20,4731.2×1
Doctors Healthcare Plan$20,1001.1×1
Secur$20,1001.1×1
Access 2 Healthcare Physicians Freedom Health$18,7981.1×1
Optimum Healthcare$18,7981.1×1
Oscar$18,7641.1×1
Humana$18,7041.1×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$18,6111.1×1
Simply Healthcare$17,3301.0×1

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: 4.5% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 340 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 Trinity Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Trinity Hospital for an inpatient hip or knee replacement stay was $17,528 (MS-DRG 470, 17 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, 55 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $241,032, 13.8× 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 Trinity Hospital?

Yes for Medicare facility payments. New Port Richey Surgery Center at Trinity, an orthopedic surgery center same ZIP away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $9,027 less than an inpatient stay at Hca Florida Trinity Hospital. Not every patient is a surgery-center candidate.

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

Hca Florida Trinity Hospital's average total payment per Medicare stay is higher than 82% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Trinity 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 $20,286 across 16 insurers, ranging from $17,330 to $55,720.