Gainesville, FL 32605 · CMS Certification Number 100204. 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 | $17,483 | $225,600 | 12.9× | $11,753 |
| Shoulder replacement | $20,889 | $233,731 | 11.2× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $17,721 | $235,074 | 13.3× | — |
Complications after hip or knee replacement: 2.6% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 528 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida North Florida Hospital an average of $17,483 per inpatient hip or knee replacement stay (MS-DRG 470, 98 stays) and $11,753 per outpatient case (APC 5115, 202 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $225,600, 12.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Florida Surgical Pavilion, an orthopedic surgery center same ZIP away, is paid about $8,416 by Medicare for a knee replacement (CPT 27447), $9,067 less than an inpatient stay at Hca Florida North Florida Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida North Florida Hospital more than 81% of the 88 Florida hospitals that report inpatient hip or knee replacement.