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Hca Florida Fort Walton-Destin Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,614
Emerald Coast Surgery Center, same ZIP
Outpatient here
$11,716
Medicare allowed amount, 54 cases, APC 5115
Inpatient here
$13,861
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Fort Walton-Destin Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,861$224,92816.2×$11,716
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,189$229,94615.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,5401.4×$15,632–$104,69911
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$104,6997.6×1
Cigna$55,3584.0×1
Florida Blue$51,3423.7×1
AvMed$49,2853.6×1
Oscar$21,9321.6×1
NDMS Definitive Care$19,5401.4×1
Simply Healthcare$18,8201.4×1
Centurion$17,1951.2×1
Simply$16,4131.2×1
Humana$16,2571.2×1
UnitedHealthcare$15,6321.1×1

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: 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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Questions

How much does Medicare pay Hca Florida Fort Walton-Destin Hospital for a knee or hip replacement?

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).

What is Hca Florida Fort Walton-Destin Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Hca Florida Fort Walton-Destin Hospital?

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.

How does Hca Florida Fort Walton-Destin Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Hca Florida Fort Walton-Destin 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 $19,540 across 11 insurers, ranging from $15,632 to $104,699.