Price AtlasInteractive atlas · All states · techysurgeon.comHca 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.
Medicare prices at Hca Florida North Florida Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,188 | 1.3× | $15,119–$55,358 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $55,358 | 3.2× | 1 |
| AvMed | $46,739 | 2.7× | 1 |
| Aetna | $33,667 | 1.9× | 1 |
| Evolutions | $31,262 | 1.8× | 1 |
| Florida Blue | $29,313 | 1.7× | 1 |
| Capital Health Plan | $25,387 | 1.5× | 1 |
| NDMS Definitive Care | $22,188 | 1.3× | 1 |
| Centurion | $19,526 | 1.1× | 1 |
| Simply | $18,638 | 1.1× | 1 |
| Humana | $18,106 | 1.0× | 1 |
| UnitedHealthcare | $17,751 | 1.0× | 1 |
| Oscar | $15,979 | 0.9× | 1 |
| Simply Healthcare | $15,119 | 0.9× | 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: 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 the average total payment to Hca Florida North Florida Hospital for an inpatient hip or knee replacement stay was $17,483 (MS-DRG 470, 98 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Hca Florida North Florida Hospital's average total payment per Medicare stay is higher than 81% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hca Florida North Florida 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 $22,188 across 13 insurers, ranging from $15,119 to $55,358.