Coral Gables, FL 33146 · CMS Certification Number 100296. 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 | $14,406 | $102,227 | 7.1× | $11,754 |
| Shoulder replacement | — | — | — | $16,434 |
| Hip replacement after a fracture (DRG 522) | $20,498 | $115,928 | 5.7× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 281 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Doctors Hospital an average of $14,406 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $11,754 per outpatient case (APC 5115, 540 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,227, 7.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baptist Health Surgery Center at Coral Gables, an orthopedic surgery center same ZIP away, is paid about $8,709 by Medicare for a knee replacement (CPT 27447), $5,697 less than an inpatient stay at Doctors Hospital. Not every patient is a surgery-center candidate.
Medicare paid Doctors Hospital less than 59% of the 88 Florida hospitals that report inpatient hip or knee replacement.