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Hca Florida Northside Hospital: what a joint replacement costs

Saint Petersburg, FL 33709 · CMS Certification Number 100238. 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
$8,501
West Park Surgery Center, 1.8 mi
Outpatient here
$11,906
Medicare allowed amount, 11 cases, APC 5115
Inpatient here
$17,624
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Northside Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,624$201,22211.4×$11,906
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,0651.0×$15,718–$55,72015
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7203.2×1
Cigna$45,4702.6×1
Aetna$37,4942.1×1
Florida Blue$32,4211.8×1
Truli$31,0241.8×1
Evolutions Healthcare Systems$22,0861.3×1
Oscar$18,7641.1×1
Centurion$18,0651.0×1
Doctors Healthcare Plan$17,7371.0×1
Secur$17,7371.0×1
Access 2 Healthcare Physicians Freedom Health$16,7521.0×1
Optimum Healthcare$16,7521.0×1
Humana$16,6860.9×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$16,4230.9×1
Simply Healthcare$15,7180.9×1

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: 4.7% (no different from the national rate). Readmissions: 7.3%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 288 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 Northside Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Northside Hospital for an inpatient hip or knee replacement stay was $17,624 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 11 cases).

What is Hca Florida Northside Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $201,222, 11.4× 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 Northside Hospital?

Yes for Medicare facility payments. West Park Surgery Center, an orthopedic surgery center 1.8 mi away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $9,123 less than an inpatient stay at Hca Florida Northside Hospital. Not every patient is a surgery-center candidate.

How does Hca Florida Northside Hospital compare with other Florida hospitals?

Hca Florida Northside Hospital's average total payment per Medicare stay is higher than 84% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Northside 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 $18,065 across 15 insurers, ranging from $15,718 to $55,720.