CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Specialty Hospital of Sarasota

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$30,246
about 2.2× the $14,044 Medicare rate · typically $13,500–$53,775
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,123
About the fair price
about $1,877 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $30,246 This hospital $32,123

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $9,376 Priciest $32,123

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 $30,246 (about 2.2× the $14,044 Medicare rate). PAM Specialty Hospital of Sarasota charges insurers about $32,123 — about the fair price. Located in Sarasota, FL.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue 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
Aetnamajor $32,123 229%
Humanamajor $31,481 224%
Simply Healthcare $32,123 229%
WellMed $32,123 229%
+ 4 smaller / regional plans $31,160 - $32,123
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6150 Edgelake Drive, Sarasota, FL 34240
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL