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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Hca Florida Gulf Coast Hospital less than 68% of the 88 Florida hospitals that report inpatient hip or knee replacement.