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Hca Florida Gulf Coast Hospital: what a joint replacement costs

Panama City, FL 32405 · CMS Certification Number 100242. 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
$8,500
Northwest Florida Surgery Center, same ZIP
Outpatient here
$11,696
196 Medicare cases, APC 5115
Inpatient here
$14,128
34 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Gulf Coast Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,128$214,27015.2×$11,696
Shoulder replacement———$16,499
Hip replacement after a fracture (DRG 522)$15,229$249,81016.4×—

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 282 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 Gulf Coast Hospital for a knee or hip replacement?

In 2024 Medicare paid Hca Florida Gulf Coast Hospital an average of $14,128 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $11,696 per outpatient case (APC 5115, 196 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $214,270, 15.2× what Medicare paid. 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 Gulf Coast Hospital?

Yes for Medicare facility payments. Northwest Florida Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,500 by Medicare for a knee replacement (CPT 27447), $5,628 less than an inpatient stay at Hca Florida Gulf Coast Hospital. Not every patient is a surgery-center candidate.

How does Hca Florida Gulf Coast Hospital compare with other Florida hospitals?

Medicare paid Hca Florida Gulf Coast Hospital less than 68% of the 88 Florida hospitals that report inpatient hip or knee replacement.