Bradenton, FL 34209 · CMS Certification Number 100213. 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 | $16,238 | $142,314 | 8.8× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $17,096 | $181,974 | 10.6× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 383 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Blake Hospital an average of $16,238 per inpatient hip or knee replacement stay (MS-DRG 470, 62 stays) and $11,906 per outpatient case (APC 5115, 171 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $142,314, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Gulf Coast Surgery Center, an orthopedic surgery center 8.6 mi away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447), $7,569 less than an inpatient stay at Hca Florida Blake Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Blake Hospital more than 68% of the 88 Florida hospitals that report inpatient hip or knee replacement.