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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,170 | 1.3× | $14,133–$55,720 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 4.1× | 1 |
| Cigna | $43,537 | 3.2× | 1 |
| UnitedHealthcare | $41,829 | 3.1× | 1 |
| Aetna | $37,494 | 2.8× | 1 |
| Florida Blue | $35,779 | 2.6× | 1 |
| Truli | $34,238 | 2.5× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.6× | 1 |
| Oscar | $20,358 | 1.5× | 1 |
| Simply Healthcare | $15,982 | 1.2× | 1 |
| Centurion | $15,546 | 1.1× | 1 |
| Doctors Healthcare Plan | $15,263 | 1.1× | 1 |
| Secur | $15,263 | 1.1× | 1 |
| Humana | $14,528 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $14,415 | 1.1× | 1 |
| Optimum Healthcare | $14,415 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $14,133 | 1.0× | 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.
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 the average total payment to Hca Florida Fawcett Hospital for an inpatient hip or knee replacement stay was $13,621 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Hca Florida Fawcett Hospital's average total payment per Medicare stay is lower than 76% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $18,170 across 16 insurers, ranging from $14,133 to $55,720.