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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,624 | $201,222 | 11.4× | $11,906 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Hca Florida Northside Hospital an average of $17,624 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $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× 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 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.
Medicare paid Hca Florida Northside Hospital more than 84% of the 88 Florida hospitals that report inpatient hip or knee replacement.