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Hca Florida Blake Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,669
Gulf Coast Surgery Center, 8.6 mi
Outpatient here
$11,906
Medicare allowed amount, 171 cases, APC 5115
Inpatient here
$16,238
Avg total payment (incl. patient share), 62 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Blake Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,238$142,3148.8×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$17,096$181,97410.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,9881.2×$17,125–$55,72016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7203.4×1
Cigna$43,5372.7×1
UnitedHealthcare$41,8292.6×1
Aetna$37,4942.3×1
Florida Blue$29,7891.8×1
Truli$28,5061.8×1
Evolutions Healthcare Systems$22,0861.4×1
Oscar$20,3581.3×1
Centurion$19,6181.2×1
Doctors Healthcare Plan$19,2621.2×1
Secur$19,2621.2×1
Humana$18,4231.1×1
Access 2 Healthcare Physicians Freedom Health$18,0131.1×1
Optimum Healthcare$18,0131.1×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$17,8351.1×1
Simply Healthcare$17,1251.1×1

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: 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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Questions

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

In 2024 the average total payment to Hca Florida Blake Hospital for an inpatient hip or knee replacement stay was $16,238 (MS-DRG 470, 62 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 171 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $142,314, 8.8× 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 Blake Hospital?

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.

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

Hca Florida Blake Hospital's average total payment per Medicare stay is higher than 68% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Blake 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 $19,988 across 16 insurers, ranging from $17,125 to $55,720.