facebook tracking Revision of hip or knee replacement with complications cost in Florida: 42 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in Florida

What 42 hospitals in Florida charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $205,519 Hospital list price billed
Average payment $26,666 Medicare + patient + other payers
Medicare paid $22,704 Average per stay
State rank #10 of 41 1 = lowest average payment

Hospitals in Florida billed an average of $205,519 for revision of hip or knee replacement with complications, about 7.7 times the average total payment of $26,666. That payment is 13% below the U.S. average of $30,673.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $26,666Billed $205,519

About 13¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: revision of hip or knee replacement with complications

Every Florida hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Orlando Regional HealthcareOrlando 109 $258,156 $26,815 $24,474
Lee Memorial HospitalFort Myers 71 $174,037 $26,857 $21,741
Naples Community HospitalNaples 59 $121,379 $23,986 $21,517
Sarasota Memorial HospitalSarasota 52 $185,058 $26,562 $23,595
Ocala Regional Medical CenterOcala 52 $229,284 $25,331 $23,953
Tampa General HospitalTampa 50 $222,007 $28,820 $26,082
Mayo ClinicJacksonville 48 $95,038 $33,928 $25,539
Cleveland Clinic HospitalWeston 42 $107,121 $27,760 $20,895
Adventhealth OrlandoOrlando 33 $313,190 $42,426 $22,380
Morton Plant HospitalClearwater 32 $148,441 $22,738 $21,640
Boca Raton Regional HospitalBoca Raton 31 $163,182 $24,404 $21,290
North Florida Regional Medical CenterGainesville 31 $305,173 $29,084 $25,824
St Lucie Medical CenterPort St Lucie 31 $332,660 $23,908 $20,667
Shands Hospital at the University of FloridaGainesville 29 $150,840 $32,815 $29,850
Doctors Hospital of SarasotaSarasota 29 $254,739 $22,918 $21,718
Delray Medical CenterDelray Beach 27 $317,363 $22,856 $21,969
Holy Cross Hospital INCFort Lauderdale 26 $103,093 $28,128 $22,018
Baptist Medical CenterJacksonville 24 $143,938 $22,975 $21,555
Baptist HospitalPensacola 24 $194,929 $26,316 $21,615
Physicians Regional Medical Center - Pine RidgeNaples 23 $299,001 $23,191 $19,054
Good Samaritan Medical CenterWest Palm Beach 23 $417,797 $23,571 $20,299
Sacred Heart HospitalPensacola 22 $129,978 $26,578 $24,823
Gulf Coast Medical Center Lee HealthFort Myers 22 $191,813 $23,896 $22,686
Indian River Medical CenterVero Beach 20 $97,062 $21,868 $20,784
Tallahassee Memorial HealthcareTallahassee 20 $141,746 $27,774 $20,572
Martin Memorial Health SystemsStuart 19 $110,490 $21,739 $20,690
Jfk Medical CenterAtlantis 17 $307,902 $28,955 $22,898
Oak Hill HospitalBrooksville 17 $376,296 $28,609 $26,354
St Vincent's Medical CenterJacksonville 16 $167,329 $25,732 $23,961
St Joseph's HospitalTampa 16 $163,867 $25,130 $24,050
Wuesthoff Medical Center - MelbourneMelbourne 14 $277,149 $22,900 $21,501
Halifax Health Medical CenterDaytona Beach 13 $155,510 $26,859 $25,468
Bay Medical CenterPanama City 13 $152,701 $24,457 $23,265
Palm Beach Gardens Medical CenterPalm Beach Gardens 13 $202,716 $21,761 $16,854
West Florida HospitalPensacola 13 $253,714 $28,714 $21,165
Mease Hospital DunedinDunedin 12 $177,888 $38,660 $21,166
Adventhealth TampaTampa 12 $248,292 $22,201 $7,206
Fawcett Memorial HospitalPort Charlotte 12 $332,327 $19,567 $17,935
Holmes Regional Medical CenterMelbourne 11 $186,591 $23,321 $22,118
Cape Coral HospitalCape Coral 11 $151,075 $21,945 $20,711
Jupiter Medical CenterJupiter 11 $172,788 $27,343 $21,869
Doctors Hospital INCCoral Gables 11 $206,697 $28,576 $26,951
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Lowest and highest payments in Florida

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Fawcett Memorial HospitalPort Charlotte, FL$19,567
Martin Memorial Health SystemsStuart, FL$21,739
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$21,761
Indian River Medical CenterVero Beach, FL$21,868
Cape Coral HospitalCape Coral, FL$21,945

Highest

Adventhealth OrlandoOrlando, FL$42,426
Mease Hospital DunedinDunedin, FL$38,660
Mayo ClinicJacksonville, FL$33,928
Shands Hospital at the University of FloridaGainesville, FL$32,815
North Florida Regional Medical CenterGainesville, FL$29,084

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in Florida?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 42 hospitals in Florida was billed at $205,519 on average, while the average total payment was $26,666, of which Medicare paid $22,704. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Florida, average charges were 7.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.