Sun City Center, FL 33573 · CMS Certification Number 100259. 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 | $12,599 | $181,555 | 14.4× | $11,906 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,628 | 1.2× | $14,208–$55,720 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 4.4× | 1 |
| Cigna | $45,470 | 3.6× | 1 |
| Aetna | $37,494 | 3.0× | 1 |
| Florida Blue | $35,232 | 2.8× | 1 |
| Truli | $33,714 | 2.7× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.8× | 1 |
| Oscar | $18,764 | 1.5× | 1 |
| Centurion | $15,628 | 1.2× | 1 |
| Doctors Healthcare Plan | $15,344 | 1.2× | 1 |
| Secur | $15,344 | 1.2× | 1 |
| Simply Healthcare | $14,697 | 1.2× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $14,350 | 1.1× | 1 |
| Optimum Healthcare | $14,350 | 1.1× | 1 |
| Humana | $14,243 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $14,208 | 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: 3.5% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 112 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 South Shore Hospital for an inpatient hip or knee replacement stay was $12,599 (MS-DRG 470, 19 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, 55 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $181,555, 14.4× 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. Brandon Surgery Center, an orthopedic surgery center 13.7 mi away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $4,098 less than an inpatient stay at Hca Florida South Shore Hospital. Not every patient is a surgery-center candidate.
Hca Florida South Shore Hospital's average total payment per Medicare stay is lower than 92% 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 $15,628 across 15 insurers, ranging from $14,208 to $55,720.