Jacksonville, FL 32216 · CMS Certification Number 100307. 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 | $13,966 | $122,637 | 8.8× | $11,854 |
| Shoulder replacement | — | — | — | $16,845 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 295 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Ascension St Vincent's Southside an average of $13,966 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,854 per outpatient case (APC 5115, 199 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,637, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. First Coast Orthopedic Center , an orthopedic surgery center same ZIP away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $5,555 less than an inpatient stay at Ascension St Vincent's Southside. Not every patient is a surgery-center candidate.
Medicare paid Ascension St Vincent's Southside less than 70% of the 88 Florida hospitals that report inpatient hip or knee replacement.