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Hca Florida St Lucie Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,403
The Surgical Center of the Treasure Coast, same ZIP
Outpatient here
$11,849
Medicare allowed amount, 360 cases, APC 5115
Inpatient here
$14,871
Avg total payment (incl. patient share), 68 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida St Lucie Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,871$250,51216.8×$11,849
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$16,981$262,71515.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,6101.2×$15,208–$56,34315
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$56,3433.8×1
AvMed$54,6933.7×1
Florida Blue$44,7813.0×1
Cigna$33,8542.3×1
Simply Healthcare$27,3041.8×1
Oscar$25,3131.7×1
NDMS Definitive Care$20,0111.3×1
Centurion$17,6101.2×1
Simply Healthcare Plans$17,2891.2×1
Humana$16,8091.1×1
Freedom Health$16,6491.1×1
Health Sun Health Plan$16,6491.1×1
Optimum$16,6491.1×1
UnitedHealthcare$16,0091.1×1
Vitas Healthcare$15,2081.0×1

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.

Quality

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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Questions

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

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).

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

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.

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

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.

How does Hca Florida St Lucie Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Hca Florida St Lucie 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 $17,610 across 15 insurers, ranging from $15,208 to $56,343.