Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida West Hospital: what a joint replacement costs
Pensacola, FL 32514 · CMS Certification Number 100231. 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.
Medicare prices at Hca Florida West Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,568 | $206,492 | 13.3× | $11,777 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,694 | $182,982 | 12.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,820 | 1.2× | $16,657–$55,358 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $55,358 | 3.6× | 1 |
| AvMed | $49,285 | 3.2× | 1 |
| Florida Blue | $32,402 | 2.1× | 1 |
| Aetna | $29,159 | 1.9× | 1 |
| NDMS Definitive Care | $20,822 | 1.3× | 1 |
| Simply Healthcare | $18,820 | 1.2× | 1 |
| Oscar | $18,641 | 1.2× | 1 |
| Centurion | $18,323 | 1.2× | 1 |
| Simply | $17,490 | 1.1× | 1 |
| Humana | $16,907 | 1.1× | 1 |
| UnitedHealthcare | $16,657 | 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.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 515 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 West Hospital for a knee or hip replacement?
In 2024 the average total payment to Hca Florida West Hospital for an inpatient hip or knee replacement stay was $15,568 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,777 per outpatient case (APC 5115, 154 cases).
What is Hca Florida West Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $206,492, 13.3× 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 West Hospital?
Yes for Medicare facility payments. West Florida Medical Center Clinic Ambulatory Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,004 by Medicare for a knee replacement (CPT 27447), $7,564 less than an inpatient stay at Hca Florida West Hospital. Not every patient is a surgery-center candidate.
How does Hca Florida West Hospital compare with other Florida hospitals?
Hca Florida West Hospital's average total payment per Medicare stay is higher than 58% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hca Florida West 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 $18,820 across 11 insurers, ranging from $16,657 to $55,358.