Port Charlotte, FL 33952 · CMS Certification Number 100236. 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 | $13,621 | $243,378 | 17.9× | $11,859 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,000 | $249,501 | 17.8× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 265 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Fawcett Hospital an average of $13,621 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $11,859 per outpatient case (APC 5115, 221 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $243,378, 17.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Gulf Pointe Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,323 by Medicare for a knee replacement (CPT 27447), $5,298 less than an inpatient stay at Hca Florida Fawcett Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Fawcett Hospital less than 76% of the 88 Florida hospitals that report inpatient hip or knee replacement.