Melbourne, FL 32940 · CMS Certification Number 100315. 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 | $12,717 | $104,280 | 8.2× | $11,906 |
| Shoulder replacement | $16,926 | $167,198 | 9.9× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $13,886 | $113,540 | 8.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,450 | 3.5× | $14,386–$52,385 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $52,385 | 4.1× | 1 |
| Cigna | $47,999 | 3.8× | 1 |
| Florida Blue | $45,285 | 3.6× | 1 |
| UnitedHealthcare | $43,614 | 3.4× | 1 |
| Florida Healthcare Plans | $34,922 | 2.7× | 1 |
| Corizon Health | $14,386 | 1.1× | 1 |
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 84 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 Viera Hospital for an inpatient hip or knee replacement stay was $12,717 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,906 per outpatient case (APC 5115, 193 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,280, 8.2× 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. Surgery Center of Viera, an orthopedic surgery center same ZIP away, is paid about $8,450 by Medicare for a knee replacement (CPT 27447), $4,267 less than an inpatient stay at Viera Hospital. Not every patient is a surgery-center candidate.
Viera Hospital's average total payment per Medicare stay is lower than 89% of the 88 Florida hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $44,450 across 6 insurers, ranging from $14,386 to $52,385.