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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Hca Florida West Hospital more than 58% of the 88 Florida hospitals that report inpatient hip or knee replacement.