Tallahassee, FL 32308 · CMS Certification Number 100254. 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 | $19,671 | $165,714 | 8.4× | $11,817 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $15,934 | $175,248 | 11.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,106 | 1.1× | $17,685–$55,358 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $55,358 | 2.8× | 1 |
| AvMed | $49,285 | 2.5× | 1 |
| Florida Blue | $31,121 | 1.6× | 1 |
| Aetna | $29,159 | 1.5× | 1 |
| Capital Health Plan | $26,440 | 1.3× | 1 |
| Oscar | $24,021 | 1.2× | 1 |
| NDMS Definitive Care | $22,106 | 1.1× | 1 |
| Centurion | $19,453 | 1.0× | 1 |
| Doctors Healthcare Plan | $19,099 | 1.0× | 1 |
| Simply Healthcare | $18,820 | 1.0× | 1 |
| Simply | $18,569 | 0.9× | 1 |
| Humana | $17,950 | 0.9× | 1 |
| UnitedHealthcare | $17,685 | 0.9× | 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: 4% (no different from the national rate). Readmissions: 8.2%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 288 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 Capital Hospital for an inpatient hip or knee replacement stay was $19,671 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,817 per outpatient case (APC 5115, 116 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $165,714, 8.4× 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. Red Hills Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,120 by Medicare for a knee replacement (CPT 27447), $11,551 less than an inpatient stay at Hca Florida Capital Hospital. Not every patient is a surgery-center candidate.
Hca Florida Capital Hospital's average total payment per Medicare stay is higher than 94% 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 $22,106 across 13 insurers, ranging from $17,685 to $55,358.