Port Saint Lucie, FL 34952 · CMS Certification Number 100260. 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 | $14,871 | $250,512 | 16.8× | $11,849 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $16,981 | $262,715 | 15.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,610 | 1.2× | $15,208–$56,343 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $56,343 | 3.8× | 1 |
| AvMed | $54,693 | 3.7× | 1 |
| Florida Blue | $44,781 | 3.0× | 1 |
| Cigna | $33,854 | 2.3× | 1 |
| Simply Healthcare | $27,304 | 1.8× | 1 |
| Oscar | $25,313 | 1.7× | 1 |
| NDMS Definitive Care | $20,011 | 1.3× | 1 |
| Centurion | $17,610 | 1.2× | 1 |
| Simply Healthcare Plans | $17,289 | 1.2× | 1 |
| Humana | $16,809 | 1.1× | 1 |
| Freedom Health | $16,649 | 1.1× | 1 |
| Health Sun Health Plan | $16,649 | 1.1× | 1 |
| Optimum | $16,649 | 1.1× | 1 |
| UnitedHealthcare | $16,009 | 1.1× | 1 |
| Vitas Healthcare | $15,208 | 1.0× | 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: 8.7%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 282 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 St Lucie Hospital for an inpatient hip or knee replacement stay was $14,871 (MS-DRG 470, 68 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,849 per outpatient case (APC 5115, 360 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $250,512, 16.8× 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. The Surgical Center of the Treasure Coast, an orthopedic surgery center same ZIP away, is paid about $8,403 by Medicare for a knee replacement (CPT 27447), $6,468 less than an inpatient stay at Hca Florida St Lucie Hospital. Not every patient is a surgery-center candidate.
Hca Florida St Lucie Hospital's average total payment per Medicare stay is lower than 56% 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 $17,610 across 15 insurers, ranging from $15,208 to $56,343.