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Hca Florida Capital Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,120
Red Hills Surgical Center, same ZIP
Outpatient here
$11,817
Medicare allowed amount, 116 cases, APC 5115
Inpatient here
$19,671
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Capital Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,671$165,7148.4×$11,817
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$15,934$175,24811.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,1061.1×$17,685–$55,35813
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$55,3582.8×1
AvMed$49,2852.5×1
Florida Blue$31,1211.6×1
Aetna$29,1591.5×1
Capital Health Plan$26,4401.3×1
Oscar$24,0211.2×1
NDMS Definitive Care$22,1061.1×1
Centurion$19,4531.0×1
Doctors Healthcare Plan$19,0991.0×1
Simply Healthcare$18,8201.0×1
Simply$18,5690.9×1
Humana$17,9500.9×1
UnitedHealthcare$17,6850.9×1

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.

Quality

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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Questions

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

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).

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

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.

Is a knee replacement cheaper at a surgery center near Hca Florida Capital Hospital?

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.

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

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.

What do commercial insurers pay Hca Florida Capital 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 $22,106 across 13 insurers, ranging from $17,685 to $55,358.