West Palm Beach, FL 33407 · CMS Certification Number 100288. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,522 | $230,610 | 14.9× | $11,472 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $18,006 | $215,384 | 12.0× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 413 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to St Mary's Medical Center for an inpatient hip or knee replacement stay was $15,522 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,472 per outpatient case (APC 5115, 71 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $230,610, 14.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hss Palm Beach Ambulatory Surgery Center , an orthopedic surgery center 3.3 mi away, is paid about $8,612 by Medicare for a knee replacement (CPT 27447), $6,910 less than an inpatient stay at St Mary's Medical Center. Not every patient is a surgery-center candidate.
St Mary's Medical Center's average total payment per Medicare stay is higher than 56% of the 88 Florida hospitals that report inpatient hip or knee replacement.