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Orlando Health Melbourne Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,450
Melbourne Surgery Center, 4.9 mi
Outpatient here
$11,833
164 Medicare cases, APC 5115
Inpatient here
$13,383
66 Medicare stays, MS-DRG 470

Medicare prices at Orlando Health Melbourne Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,383$191,58414.3×$11,833
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$14,399$156,25010.9×—

Quality

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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Questions

How much does Medicare pay Orlando Health Melbourne Hospital for a knee or hip replacement?

In 2024 Medicare paid Orlando Health Melbourne Hospital an average of $13,383 per inpatient hip or knee replacement stay (MS-DRG 470, 66 stays) and $11,833 per outpatient case (APC 5115, 164 cases).

What is Orlando Health Melbourne Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $191,584, 14.3× 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 Orlando Health Melbourne Hospital?

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.

How does Orlando Health Melbourne Hospital compare with other Florida hospitals?

Medicare paid Orlando Health Melbourne Hospital less than 77% of the 88 Florida hospitals that report inpatient hip or knee replacement.