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Florida: one knee, three prices

What Medicare pays Florida hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,501
Median Medicare knee rate, 189 orthopedic surgery centers
Hospital, same day
$11,843
Median Medicare allowed amount
Hospital, overnight
$15,159
Median avg total payment (incl. patient share), 88 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Delray Medical CenterDelray Beach$12,075$212,531$11,708
Adventhealth Wesley ChapelWesley Chapel$12,470$159,117$11,768
Uf Health Spanish Plaines HospitalThe Villages$12,476$79,600$11,670
Lakewood Ranch Medical CenterBradenton$12,484$225,284$11,906
Palm Beach Gardens Medical CenterPalm Beach Gardens$12,536$206,570$11,513
Sarasota Memorial Hospital - VeniceNorth Venice$12,536$116,044$11,906
Hca Florida South Shore HospitalSun City Center$12,599$181,555$11,906
Cleveland Clinic Martin North HospitalStuart$12,616$75,738$11,906
Hca Florida Englewood HospitalEnglewood$12,678$191,377$11,906
Viera HospitalMelbourne$12,717$104,280$11,906

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Jackson Memorial HospitalMiami$25,737$71,818$11,730
Hca Florida Memorial HospitalJacksonville$25,174$237,217$11,906
Uf Health JacksonvilleJacksonville$24,771$150,336$11,569
Lower Keys Medical CenterKey West$19,826$149,425$12,749
Uf Health Shands HospitalGainesville$19,702$105,264$11,156
Hca Florida Capital HospitalTallahassee$19,671$165,714$11,817
Orlando Health Bayfront HospitalSaint Petersburg$19,503$154,503$11,708
Adventhealth TampaTampa$19,187$179,794$11,816
Mayo ClinicJacksonville$18,793$72,440$11,822
Adventhealth OrlandoOrlando$18,436$170,098$11,802

Every Florida hospital (136)

Orthopedic surgery centers (189)

Questions

How much does Medicare pay for a knee replacement in Florida?

In 2024 the median average total payment to Florida hospitals was $15,159 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 88 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,843 per outpatient case. An orthopedic surgery center is paid about $8,501 for a knee.

Which Florida hospitals have the lowest Medicare payment for a joint replacement?

Delray Medical Center ($12,075), Adventhealth Wesley Chapel ($12,470), Uf Health Spanish Plaines Hospital ($12,476) (average total payment per inpatient stay, patient share included).

What do Florida hospitals list for a joint replacement?

The median list (chargemaster) price is $140,470, about 9.3× the median average total payment for a Medicare stay.

Does Florida have a certificate-of-need law?

Florida has a certificate-of-need program that does not cover surgery centers. CON covers only nursing homes, hospices, and ICF/DD; hospital CON was repealed in 2019 and outpatient services including ASCs are not regulated; a 2026 bill to repeal the rest died in the Senate.