Ocala, FL 34471 · CMS Certification Number 100212. 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 | $17,257 | $172,242 | 10.0× | $11,870 |
| Shoulder replacement | $20,301 | $224,680 | 11.1× | $16,665 |
| Hip replacement after a fracture (DRG 522) | $16,912 | $228,855 | 13.5× | — |
Complications after hip or knee replacement: 6.2% (no different from the national rate). Readmissions: 8.2%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 545 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Ocala Hospital an average of $17,257 per inpatient hip or knee replacement stay (MS-DRG 470, 64 stays) and $11,870 per outpatient case (APC 5115, 849 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $172,242, 10.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Marion Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,610 by Medicare for a knee replacement (CPT 27447), $8,647 less than an inpatient stay at Hca Florida Ocala Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Ocala Hospital more than 80% of the 88 Florida hospitals that report inpatient hip or knee replacement.