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Ascension St Vincent's St Johns County: what a joint replacement costs

St Johns, FL 32259 · CMS Certification Number 100361. 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
$8,411
Fleming Island Surgery Center, 7.6 mi
Outpatient here
$11,906
140 Medicare cases, APC 5115
Inpatient here
$13,077
18 Medicare stays, MS-DRG 470

Medicare prices at Ascension St Vincent's St Johns County

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,077$128,5979.8×$11,906
Shoulder replacement———$16,845

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 56 beds

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

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Questions

How much does Medicare pay Ascension St Vincent's St Johns County for a knee or hip replacement?

In 2024 Medicare paid Ascension St Vincent's St Johns County an average of $13,077 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,906 per outpatient case (APC 5115, 140 cases).

What is Ascension St Vincent's St Johns County's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $128,597, 9.8× what Medicare paid. 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 Ascension St Vincent's St Johns County?

Yes for Medicare facility payments. Fleming Island Surgery Center, an orthopedic surgery center 7.6 mi away, is paid about $8,411 by Medicare for a knee replacement (CPT 27447), $4,666 less than an inpatient stay at Ascension St Vincent's St Johns County. Not every patient is a surgery-center candidate.

How does Ascension St Vincent's St Johns County compare with other Florida hospitals?

Medicare paid Ascension St Vincent's St Johns County less than 83% of the 88 Florida hospitals that report inpatient hip or knee replacement.