Fort Myers, FL 33912 · CMS Certification Number 100220. 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 | $13,294 | $130,686 | 9.8× | $11,906 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,795 | $126,450 | 8.5× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 699 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Gulf Coast Medical Center an average of $13,294 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,906 per outpatient case (APC 5115, 41 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $130,686, 9.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Center for Specialized Surgery at Ft Myers, an orthopedic surgery center same ZIP away, is paid about $8,687 by Medicare for a knee replacement (CPT 27447), $4,607 less than an inpatient stay at Gulf Coast Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Gulf Coast Medical Center less than 81% of the 88 Florida hospitals that report inpatient hip or knee replacement.