Brooksville, FL 34613 · CMS Certification Number 100264. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,968 | $222,345 | 13.1× | $11,762 |
| Shoulder replacement | $21,310 | $318,677 | 15.0× | $15,679 |
| Hip replacement after a fracture (DRG 522) | $16,159 | $233,902 | 14.5× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 350 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Oak Hill Hospital an average of $16,968 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $11,762 per outpatient case (APC 5115, 141 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $222,345, 13.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hernando Endoscopy & Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $8,467 less than an inpatient stay at Hca Florida Oak Hill Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Oak Hill Hospital more than 77% of the 88 Florida hospitals that report inpatient hip or knee replacement.