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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,624 | $201,222 | 11.4× | $11,906 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,065 | 1.0× | $15,718–$55,720 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 3.2× | 1 |
| Cigna | $45,470 | 2.6× | 1 |
| Aetna | $37,494 | 2.1× | 1 |
| Florida Blue | $32,421 | 1.8× | 1 |
| Truli | $31,024 | 1.8× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.3× | 1 |
| Oscar | $18,764 | 1.1× | 1 |
| Centurion | $18,065 | 1.0× | 1 |
| Doctors Healthcare Plan | $17,737 | 1.0× | 1 |
| Secur | $17,737 | 1.0× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $16,752 | 1.0× | 1 |
| Optimum Healthcare | $16,752 | 1.0× | 1 |
| Humana | $16,686 | 0.9× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $16,423 | 0.9× | 1 |
| Simply Healthcare | $15,718 | 0.9× | 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.
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.
Open the interactive price tagBuild a reportAll Florida hospitals
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).
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.
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.
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.
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.