Melbourne, FL 32935 · CMS Certification Number 100291. 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 | $13,383 | $191,584 | 14.3× | $11,833 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,399 | $156,250 | 10.9× | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 119 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 Orlando Health Melbourne Hospital for an inpatient hip or knee replacement stay was $13,383 (MS-DRG 470, 66 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,833 per outpatient case (APC 5115, 164 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $191,584, 14.3× 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. Melbourne Surgery Center, an orthopedic surgery center 4.9 mi away, is paid about $8,450 by Medicare for a knee replacement (CPT 27447), $4,933 less than an inpatient stay at Orlando Health Melbourne Hospital. Not every patient is a surgery-center candidate.
Orlando Health Melbourne Hospital's average total payment per Medicare stay is lower than 77% of the 88 Florida hospitals that report inpatient hip or knee replacement.