The Villages, FL 32159 · CMS Certification Number 100290. 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 | $12,476 | $79,600 | 6.4× | $11,670 |
| Shoulder replacement | — | — | — | $16,467 |
| Hip replacement after a fracture (DRG 522) | $13,603 | $82,590 | 6.1× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 315 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Uf Health Spanish Plaines Hospital an average of $12,476 per inpatient hip or knee replacement stay (MS-DRG 470, 40 stays) and $11,670 per outpatient case (APC 5115, 87 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,600, 6.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Tlc Outpatient Surgery and Laser Center, an orthopedic surgery center same ZIP away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $4,037 less than an inpatient stay at Uf Health Spanish Plaines Hospital. Not every patient is a surgery-center candidate.
Medicare paid Uf Health Spanish Plaines Hospital less than 97% of the 88 Florida hospitals that report inpatient hip or knee replacement.