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Hca Florida Englewood Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,669
Sunset Lake Surgery Center, 8.3 mi
Outpatient here
$11,906
Medicare allowed amount, 76 cases, APC 5115
Inpatient here
$12,678
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Hca Florida Englewood Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,678$191,37715.1×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$13,790$215,52215.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,1861.4×$14,191–$55,72016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AvMed$55,7204.4×1
Cigna$43,5373.4×1
UnitedHealthcare$41,8293.3×1
Aetna$37,4943.0×1
Florida Blue$35,7792.8×1
Truli$34,2382.7×1
Evolutions Healthcare Systems$22,0861.7×1
Oscar$20,3581.6×1
Simply Healthcare$16,0131.3×1
Centurion$15,6101.2×1
Doctors Healthcare Plan$15,3261.2×1
Secur$15,3261.2×1
Access 2 Healthcare Physicians Freedom Health$14,3331.1×1
Optimum Healthcare$14,3331.1×1
Humana$14,2901.1×1
Access 2 Healthcare Physicians Freedom Optimum Group Members$14,1911.1×1

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: 4.3% (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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Questions

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

In 2024 the average total payment to Hca Florida Englewood Hospital for an inpatient hip or knee replacement stay was $12,678 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 76 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $191,377, 15.1× 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 Englewood Hospital?

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.

How does Hca Florida Englewood Hospital compare with other Florida hospitals?

Hca Florida Englewood Hospital's average total payment per Medicare stay is lower than 90% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Florida Englewood 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 $18,186 across 16 insurers, ranging from $14,191 to $55,720.