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Hca 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.

Surgery center nearby
$8,004
West Florida Medical Center Clinic Ambulatory Surgical Center, same ZIP
Outpatient here
$11,777
154 Medicare cases, APC 5115
Inpatient here
$15,568
34 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida West Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,568$206,49213.3×$11,777
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$14,694$182,98212.5×—

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 Medicare paid Hca Florida West Hospital an average of $15,568 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $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× 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 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?

Medicare paid Hca Florida West Hospital more than 58% of the 88 Florida hospitals that report inpatient hip or knee replacement.