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St Mary's Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,612
Hss Palm Beach Ambulatory Surgery Center , 3.3 mi
Outpatient here
$11,472
71 Medicare cases, APC 5115
Inpatient here
$15,522
16 Medicare stays, MS-DRG 470

Medicare prices at St Mary's Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,522$230,61014.9×$11,472
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$18,006$215,38412.0×—

Quality

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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Questions

How much does Medicare pay St Mary's Medical Center for a knee or hip replacement?

In 2024 Medicare paid St Mary's Medical Center an average of $15,522 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,472 per outpatient case (APC 5115, 71 cases).

What is St Mary's Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $230,610, 14.9× what Medicare paid. 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 St Mary's Medical Center?

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.

How does St Mary's Medical Center compare with other Florida hospitals?

Medicare paid St Mary's Medical Center more than 56% of the 88 Florida hospitals that report inpatient hip or knee replacement.