Fort Walton Beach, FL 32547 · CMS Certification Number 100223. 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 | $13,861 | $224,928 | 16.2× | $11,716 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,189 | $229,946 | 15.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,540 | 1.4× | $15,632–$104,699 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $104,699 | 7.6× | 1 |
| Cigna | $55,358 | 4.0× | 1 |
| Florida Blue | $51,342 | 3.7× | 1 |
| AvMed | $49,285 | 3.6× | 1 |
| Oscar | $21,932 | 1.6× | 1 |
| NDMS Definitive Care | $19,540 | 1.4× | 1 |
| Simply Healthcare | $18,820 | 1.4× | 1 |
| Centurion | $17,195 | 1.2× | 1 |
| Simply | $16,413 | 1.2× | 1 |
| Humana | $16,257 | 1.2× | 1 |
| UnitedHealthcare | $15,632 | 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: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 331 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 Fort Walton-Destin Hospital for an inpatient hip or knee replacement stay was $13,861 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,716 per outpatient case (APC 5115, 54 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $224,928, 16.2× 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. Emerald Coast Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,614 by Medicare for a knee replacement (CPT 27447), $5,247 less than an inpatient stay at Hca Florida Fort Walton-Destin Hospital. Not every patient is a surgery-center candidate.
Hca Florida Fort Walton-Destin Hospital's average total payment per Medicare stay is lower than 72% 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 $19,540 across 11 insurers, ranging from $15,632 to $104,699.