CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Gulf Breeze Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,485
about 1.2× the $14,044 Medicare rate · typically $14,342–$25,581
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,745
Below the fair price — a good deal
about $2,740 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $17,485 This hospital $14,745

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

A typical price — 3 charge more and 5 charge less, among the 9 FL hospitals compared.

Cheapest $9,376 Priciest $15,116

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,485 (about 1.2× the $14,044 Medicare rate). Gulf Breeze Hospital charges insurers about $14,745 — below the fair price — a good deal. Located in Gulf Breeze, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $13,384 - $30,266 95%
Aetnamajor $13,318 95%
Humanamajor $10,069 72%
WellCare $13,318 95%
+ 6 smaller / regional plans $13,004 - $36,586
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals