Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Florida
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$179,044typical hospital bill
$27,062typical amount paid
$20,969–$38,065range paid across 4 hospitals
Florida hospitals billed Medicare a typical $179,044 for this stay in 2024, about 6.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Naples Community Hospital | Naples | 16 | $107,146 | $20,969 | – | – | |
| Lee Memorial Hospital | Fort Myers | 17 | $141,136 | $24,296 | – | – | |
| Orlando Health | Orlando | 29 | $216,952 | $29,829 | – | – | |
| AdventHealth Orlando | Orlando | 14 | $251,076 | $38,065 | – | – | |
| Jackson Health System | Miami | – | – | – | $23,838 | $38,336$29,563–$85,679 · 44 plans | |
| Tampa General Hospital | Tampa | – | – | – | – | $51,515$29,971–$71,634 · 19 plans | |
| UF Health Shands Hospital | Gainesville | – | – | – | – | $38,484$16,510–$52,286 · 18 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.