Crystal River, FL 34428 · CMS Certification Number 100249. 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 | $13,207 | $161,669 | 12.2× | $11,863 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,395 | $175,391 | 12.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,949 | 2.3× | $20,656–$39,016 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Humana | $39,016 | 3.0× | 1 |
| UnitedHealthcare | $35,409 | 2.7× | 1 |
| Aetna | $24,489 | 1.9× | 1 |
| Florida Blue | $20,656 | 1.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 128 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 Tampa General Hospital Crystal River for an inpatient hip or knee replacement stay was $13,207 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,863 per outpatient case (APC 5115, 202 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $161,669, 12.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Citrus Surgery Center, an orthopedic surgery center 14.0 mi away, is paid about $8,410 by Medicare for a knee replacement (CPT 27447), $4,797 less than an inpatient stay at Tampa General Hospital Crystal River. Not every patient is a surgery-center candidate.
Tampa General Hospital Crystal River's average total payment per Medicare stay is lower than 82% 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 $29,949 across 4 insurers, ranging from $20,656 to $39,016.