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Hca Florida North Florida Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,416
North Florida Surgical Pavilion, same ZIP
Outpatient here
$11,753
202 Medicare cases, APC 5115
Inpatient here
$17,483
98 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida North Florida Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,483$225,60012.9×$11,753
Shoulder replacement$20,889$233,73111.2×$16,845
Hip replacement after a fracture (DRG 522)$17,721$235,07413.3×—

Quality

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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Questions

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

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).

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

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.

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

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.

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

Medicare paid Hca Florida North Florida Hospital more than 81% of the 88 Florida hospitals that report inpatient hip or knee replacement.