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Gulf Coast Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,687
The Center for Specialized Surgery at Ft Myers, same ZIP
Outpatient here
$11,906
41 Medicare cases, APC 5115
Inpatient here
$13,294
12 Medicare stays, MS-DRG 470

Medicare prices at Gulf Coast Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,294$130,6869.8×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,795$126,4508.5×—

Quality

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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Questions

How much does Medicare pay Gulf Coast Medical Center for a knee or hip replacement?

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).

What is Gulf Coast Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Gulf Coast Medical Center?

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.

How does Gulf Coast Medical Center compare with other Florida hospitals?

Medicare paid Gulf Coast Medical Center less than 81% of the 88 Florida hospitals that report inpatient hip or knee replacement.