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Hip fracture replacement in Florida: what insurers pay

Posted commercial rates at 15 Florida hospitals, each next to its own Medicare base rate.

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CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Tampa General Hospital Tampa$8,9501.2×22026-04-01
Morton Plant Hospital Clearwater$16,9782.2×22026-01-01

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic Hospital Weston$29,3641.9×42026-06-15
Mount Sinai Medical Center Of Florida, Inc Miami Beach$29,4041.9×42026-03-13
Tampa General Hospital Brooksville Brooksville$32,7392.1×42026-04-01
Jackson Memorial Hospital Miami$40,8012.6×42026-09-23
Adventhealth Wesley Chapel Wesley Chapel$40,8332.6×42026-04-01
Morton Plant Hospital Clearwater$43,1322.7×52026-01-01
Mease Dunedin Hospital Dunedin$43,1322.7×52026-01-01
South Florida Baptist Hospital Plant City$43,1322.7×52026-01-01
Mease Countryside Hospital Safety Harbor$43,1322.7×52026-01-01
Tampa General Hospital Tampa$43,9342.8×42026-04-01
Adventhealth Zephyrhills Zephyrhills$43,9602.8×42026-04-01
Adventhealth Tampa Tampa$45,7782.9×42026-04-01
Adventhealth Carrollwood Tampa$50,3343.2×42026-04-01
Adventhealth North Pinellas Tarpon Springs$51,6823.3×32026-04-01
Orlando Health Orlando Regional Medical Center Orlando$61,1523.9×42026-04-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Mount Sinai Medical Center Of Florida, Inc Miami Beach$36,8361.7×42026-03-13
Cleveland Clinic Hospital Weston$39,7971.9×42026-06-15
Tampa General Hospital Brooksville Brooksville$44,3732.1×42026-04-01
Jackson Memorial Hospital Miami$55,2982.6×42026-09-23
Adventhealth Wesley Chapel Wesley Chapel$55,3432.6×42026-04-01
Tampa General Hospital Tampa$58,9022.8×42026-04-01
Adventhealth Zephyrhills Zephyrhills$59,5802.8×42026-04-01
Morton Plant Hospital Clearwater$59,6352.8×52026-01-01
Mease Dunedin Hospital Dunedin$59,6352.8×52026-01-01
South Florida Baptist Hospital Plant City$59,6352.8×52026-01-01
Mease Countryside Hospital Safety Harbor$59,6352.8×52026-01-01
Adventhealth Tampa Tampa$62,0442.9×42026-04-01
Adventhealth Carrollwood Tampa$68,2203.2×42026-04-01
Adventhealth North Pinellas Tarpon Springs$70,0473.3×32026-04-01
Orlando Health Orlando Regional Medical Center Orlando$84,5444.0×42026-04-01

Questions

How much do insurers pay for hip fracture replacement in Florida?

15 Florida hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 2 hospitals is $12,964, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.