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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,988 | 1.2× | $17,125–$55,720 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 3.4× | 1 |
| Cigna | $43,537 | 2.7× | 1 |
| UnitedHealthcare | $41,829 | 2.6× | 1 |
| Aetna | $37,494 | 2.3× | 1 |
| Florida Blue | $29,789 | 1.8× | 1 |
| Truli | $28,506 | 1.8× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.4× | 1 |
| Oscar | $20,358 | 1.3× | 1 |
| Centurion | $19,618 | 1.2× | 1 |
| Doctors Healthcare Plan | $19,262 | 1.2× | 1 |
| Secur | $19,262 | 1.2× | 1 |
| Humana | $18,423 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $18,013 | 1.1× | 1 |
| Optimum Healthcare | $18,013 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $17,835 | 1.1× | 1 |
| Simply Healthcare | $17,125 | 1.1× | 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.
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 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).
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.
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.
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.
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.