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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,077 | $128,597 | 9.8× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
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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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).
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.
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.
Medicare paid Ascension St Vincent's St Johns County less than 83% of the 88 Florida hospitals that report inpatient hip or knee replacement.