Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida Oak Hill Hospital: what a joint replacement costs
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.
Medicare prices at Hca Florida Oak Hill Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,399 | 1.1× | $16,903–$55,720 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AvMed | $55,720 | 3.3× | 1 |
| Cigna | $43,537 | 2.6× | 1 |
| UnitedHealthcare | $41,829 | 2.5× | 1 |
| Aetna | $37,494 | 2.2× | 1 |
| Florida Blue | $31,252 | 1.8× | 1 |
| Truli | $29,906 | 1.8× | 1 |
| Evolutions Healthcare Systems | $22,086 | 1.3× | 1 |
| Centurion | $19,577 | 1.2× | 1 |
| Doctors Healthcare Plan | $19,221 | 1.1× | 1 |
| Secur | $19,221 | 1.1× | 1 |
| Oscar | $18,764 | 1.1× | 1 |
| Humana | $17,993 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Health | $17,976 | 1.1× | 1 |
| Optimum Healthcare | $17,976 | 1.1× | 1 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $17,798 | 1.0× | 1 |
| Simply Healthcare | $16,903 | 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.
Quality
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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Questions
How much does Medicare pay Hca Florida Oak Hill Hospital for a knee or hip replacement?
In 2024 the average total payment to Hca Florida Oak Hill Hospital for an inpatient hip or knee replacement stay was $16,968 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,762 per outpatient case (APC 5115, 141 cases).
What is Hca Florida Oak Hill Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $222,345, 13.1× 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 Oak Hill Hospital?
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.
How does Hca Florida Oak Hill Hospital compare with other Florida hospitals?
Hca Florida Oak Hill Hospital's average total payment per Medicare stay is higher than 77% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hca Florida Oak Hill 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 $19,399 across 16 insurers, ranging from $16,903 to $55,720.