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Doctors Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,709
Baptist Health Surgery Center at Coral Gables, same ZIP
Outpatient here
$11,754
540 Medicare cases, APC 5115
Inpatient here
$14,406
26 Medicare stays, MS-DRG 470

Medicare prices at Doctors Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,406$102,2277.1×$11,754
Shoulder replacement———$16,434
Hip replacement after a fracture (DRG 522)$20,498$115,9285.7×—

Quality

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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Questions

How much does Medicare pay Doctors Hospital for a knee or hip replacement?

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).

What is Doctors Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Doctors Hospital?

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.

How does Doctors Hospital compare with other Florida hospitals?

Medicare paid Doctors Hospital less than 59% of the 88 Florida hospitals that report inpatient hip or knee replacement.