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Palm Bay Hospital: what a joint replacement costs

Palm Bay, FL 32907 · CMS Certification Number 100316. 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
Melbourne Surgery Center, 5.4 mi
Outpatient here
$11,831
Medicare allowed amount, 131 cases, APC 5115
Inpatient here
$13,763
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Palm Bay Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,763$111,7978.1×$11,831
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,212$120,0597.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$44,4503.2×$15,546–$52,3856
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$52,3853.8×1
Cigna$47,9993.5×1
Florida Blue$45,2853.3×1
UnitedHealthcare$43,6143.2×1
Florida Healthcare Plans$34,9222.5×1
Corizon Health$15,5461.1×1

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: 3.5% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 152 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

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

In 2024 the average total payment to Palm Bay Hospital for an inpatient hip or knee replacement stay was $13,763 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,831 per outpatient case (APC 5115, 131 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,797, 8.1× 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 Palm Bay Hospital?

Yes for Medicare facility payments. Melbourne Surgery Center, an orthopedic surgery center 5.4 mi away, is paid about $8,450 by Medicare for a knee replacement (CPT 27447), $5,313 less than an inpatient stay at Palm Bay Hospital. Not every patient is a surgery-center candidate.

How does Palm Bay Hospital compare with other Florida hospitals?

Palm Bay Hospital's average total payment per Medicare stay is lower than 74% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Palm Bay 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 $15,546 to $52,385.