Fort Pierce, FL 34950 · CMS Certification Number 100246. 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 | $16,456 | $192,560 | 11.7× | $11,906 |
| Shoulder replacement | $19,871 | $324,500 | 16.3× | — |
| Hip replacement after a fracture (DRG 522) | $16,187 | $256,791 | 15.9× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 497 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Lawnwood Hospital an average of $16,456 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,906 per outpatient case (APC 5115, 23 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $192,560, 11.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Surgical Center of the Treasure Coast, an orthopedic surgery center 10.3 mi away, is paid about $8,403 by Medicare for a knee replacement (CPT 27447), $8,053 less than an inpatient stay at Hca Florida Lawnwood Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Lawnwood Hospital more than 70% of the 88 Florida hospitals that report inpatient hip or knee replacement.