Englewood, FL 34223 · CMS Certification Number 100267. 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 | $12,678 | $191,377 | 15.1× | $11,906 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $13,790 | $215,522 | 15.6× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 100 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hca Florida Englewood Hospital an average of $12,678 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,906 per outpatient case (APC 5115, 76 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $191,377, 15.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sunset Lake Surgery Center, an orthopedic surgery center 8.3 mi away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447), $4,009 less than an inpatient stay at Hca Florida Englewood Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hca Florida Englewood Hospital less than 90% of the 88 Florida hospitals that report inpatient hip or knee replacement.