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Hca Florida Lawnwood Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,403
The Surgical Center of the Treasure Coast, 10.3 mi
Outpatient here
$11,906
Medicare allowed amount, 23 cases, APC 5115
Inpatient here
$16,456
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Lawnwood Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,456$192,56011.7×$11,906
Shoulder replacement$19,871$324,50016.3×—
Hip replacement after a fracture (DRG 522)$16,187$256,79115.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,3181.2×$17,292–$56,34314
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$56,3433.4×1
AvMed$54,6933.3×1
Florida Blue$44,7812.7×1
Cigna$33,8542.1×1
Simply Healthcare$27,3041.7×1
Oscar$25,3131.5×1
NDMS Definitive Care$21,6151.3×1
Centurion$19,0211.2×1
Simply Healthcare Plans$18,6761.1×1
Humana$18,1571.1×1
Freedom Health$17,9841.1×1
Health Sun Health Plan$17,9841.1×1
Optimum$17,9841.1×1
UnitedHealthcare$17,2921.1×1

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: 3.4% (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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Questions

How much does Medicare pay Hca Florida Lawnwood Hospital for a knee or hip replacement?

In 2024 the average total payment to Hca Florida Lawnwood Hospital for an inpatient hip or knee replacement stay was $16,456 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 23 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $192,560, 11.7× 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 Lawnwood Hospital?

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.

How does Hca Florida Lawnwood Hospital compare with other Florida hospitals?

Hca Florida Lawnwood Hospital's average total payment per Medicare stay is higher than 70% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Lawnwood 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 $20,318 across 14 insurers, ranging from $17,292 to $56,343.