North Venice, FL 34275 · CMS Certification Number 100359. 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 | $12,536 | $116,044 | 9.3× | $11,906 |
| Shoulder replacement | $17,053 | $129,127 | 7.6× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,252 | $103,789 | 7.3× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 212 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Sarasota Memorial Hospital - Venice an average of $12,536 per inpatient hip or knee replacement stay (MS-DRG 470, 47 stays) and $11,906 per outpatient case (APC 5115, 378 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,044, 9.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sunset Lake Surgery Center, an orthopedic surgery center 6.3 mi away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447), $3,867 less than an inpatient stay at Sarasota Memorial Hospital - Venice. Not every patient is a surgery-center candidate.
Medicare paid Sarasota Memorial Hospital - Venice less than 93% of the 88 Florida hospitals that report inpatient hip or knee replacement.