Revision of hip or knee replacement with major complications in Florida
What 8 hospitals in Florida charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with major complications (DRG 466), from 2024 Medicare claims.
Average charge
$235,054
Hospital list price billed
Average payment
$36,176
Medicare + patient + other payers
Medicare paid
$33,430
Average per stay
State rank
#1 of 10
1 = lowest average payment
Hospitals in Florida billed an average of $235,054 for revision of hip or knee replacement with major complications, about 6.5 times the average total payment of $36,176. That payment is 52% below the U.S. average of $75,768.
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 $36,176Billed $235,054
About 15¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: revision of hip or knee replacement with major 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 |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 20 | $377,309 | $36,352 | $34,473 |
| Naples Community HospitalNaples | 20 | $130,385 | $26,005 | $24,624 |
| Orlando Regional HealthcareOrlando | 19 | $310,348 | $34,657 | $33,643 |
| Sacred Heart HospitalPensacola | 13 | $148,944 | $35,337 | $33,497 |
| Boca Raton Regional HospitalBoca Raton | 12 | $261,970 | $38,098 | $36,115 |
| Cleveland Clinic HospitalWeston | 12 | $165,628 | $43,827 | $32,449 |
| Shands Hospital at the University of FloridaGainesville | 11 | $198,570 | $49,990 | $46,175 |
| Gulf Coast Medical Center Lee HealthFort Myers | 11 | $221,286 | $33,710 | $32,495 |
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
| Naples Community HospitalNaples, FL | $26,005 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $33,710 |
| Orlando Regional HealthcareOrlando, FL | $34,657 |
| Sacred Heart HospitalPensacola, FL | $35,337 |
| Adventhealth OrlandoOrlando, FL | $36,352 |
Highest
| Shands Hospital at the University of FloridaGainesville, FL | $49,990 |
|---|---|
| Cleveland Clinic HospitalWeston, FL | $43,827 |
| Boca Raton Regional HospitalBoca Raton, FL | $38,098 |
| Adventhealth OrlandoOrlando, FL | $36,352 |
| Sacred Heart HospitalPensacola, FL | $35,337 |
Revision of hip or knee replacement with major complications in other states
Questions
How much does revision of hip or knee replacement with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with major complications (DRG 466) at 8 hospitals in Florida was billed at $235,054 on average, while the average total payment was $36,176, of which Medicare paid $33,430. 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 6.5 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.