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Viera Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,450
Surgery Center of Viera, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 193 cases, APC 5115
Inpatient here
$12,717
Avg total payment (incl. patient share), 37 Medicare stays, MS-DRG 470

Medicare prices at Viera Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,717$104,2808.2×$11,906
Shoulder replacement$16,926$167,1989.9×$16,845
Hip replacement after a fracture (DRG 522)$13,886$113,5408.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$44,4503.5×$14,386–$52,3856
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$52,3854.1×1
Cigna$47,9993.8×1
Florida Blue$45,2853.6×1
UnitedHealthcare$43,6143.4×1
Florida Healthcare Plans$34,9222.7×1
Corizon Health$14,3861.1×1

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.

Quality

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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Questions

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

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).

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

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.

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

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.

How does Viera Hospital compare with other Florida hospitals?

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.

What do commercial insurers pay Viera Hospital for a 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.