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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,318 | 1.2× | $17,292–$56,343 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $56,343 | 3.4× | 1 |
| AvMed | $54,693 | 3.3× | 1 |
| Florida Blue | $44,781 | 2.7× | 1 |
| Cigna | $33,854 | 2.1× | 1 |
| Simply Healthcare | $27,304 | 1.7× | 1 |
| Oscar | $25,313 | 1.5× | 1 |
| NDMS Definitive Care | $21,615 | 1.3× | 1 |
| Centurion | $19,021 | 1.2× | 1 |
| Simply Healthcare Plans | $18,676 | 1.1× | 1 |
| Humana | $18,157 | 1.1× | 1 |
| Freedom Health | $17,984 | 1.1× | 1 |
| Health Sun Health Plan | $17,984 | 1.1× | 1 |
| Optimum | $17,984 | 1.1× | 1 |
| UnitedHealthcare | $17,292 | 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.
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 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).
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.
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.
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.
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.