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Hca Florida South Shore Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,501
Brandon Surgery Center, 13.7 mi
Outpatient here
$11,906
Medicare allowed amount, 55 cases, APC 5115
Inpatient here
$12,599
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida South Shore Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,599$181,55514.4×$11,906
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,6281.2×$14,208–$55,72015
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7204.4×1
Cigna$45,4703.6×1
Aetna$37,4943.0×1
Florida Blue$35,2322.8×1
Truli$33,7142.7×1
Evolutions Healthcare Systems$22,0861.8×1
Oscar$18,7641.5×1
Centurion$15,6281.2×1
Doctors Healthcare Plan$15,3441.2×1
Secur$15,3441.2×1
Simply Healthcare$14,6971.2×1
Access 2 Healthcare Physicians Freedom Health$14,3501.1×1
Optimum Healthcare$14,3501.1×1
Humana$14,2431.1×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$14,2081.1×1

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.

Quality

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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Questions

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

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).

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

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.

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

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.

How does Hca Florida South Shore Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Hca Florida South Shore 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 $15,628 across 15 insurers, ranging from $14,208 to $55,720.