Price AtlasInteractive atlas · All states · techysurgeon.comHca 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.
Medicare prices at Hca Florida Gulf Coast Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,128 | $214,270 | 15.2× | $11,696 |
| Shoulder replacement | — | — | — | $16,499 |
| Hip replacement after a fracture (DRG 522) | $15,229 | $249,810 | 16.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,546 | 1.8× | $16,006–$55,358 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $55,358 | 3.9× | 1 |
| AvMed | $49,285 | 3.5× | 1 |
| Evolutions | $48,637 | 3.4× | 1 |
| UnitedHealthcare | $32,427 | 2.3× | 1 |
| Florida Blue | $31,121 | 2.2× | 1 |
| Aetna | $29,159 | 2.1× | 1 |
| Oscar | $21,932 | 1.6× | 1 |
| NDMS Definitive Care | $19,809 | 1.4× | 1 |
| Simply Healthcare | $18,820 | 1.3× | 1 |
| Centurion | $17,432 | 1.2× | 1 |
| Simply | $16,640 | 1.2× | 1 |
| Humana | $16,006 | 1.1× | 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: 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 the average total payment to Hca Florida Gulf Coast Hospital for an inpatient hip or knee replacement stay was $14,128 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Hca Florida Gulf Coast Hospital's average total payment per Medicare stay is lower than 68% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hca Florida Gulf Coast 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 $25,546 across 12 insurers, ranging from $16,006 to $55,358.