How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in panhandle?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for panhandle.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Ascension Sacred Heart Pensacola lowest ⚠ likely error | Hospital | $19,023negotiated | 0.9× | ★★★★★ hip/knee complications 3.7% |
| HCA Florida Fort Walton-Destin Hospital | Hospital | $24,914negotiated | 1.1× | ★★★★★ hip/knee complications 4.9% |
| Baptist Hospital (Pensacola) | Hospital | $25,354negotiated | 1.1× | ★★★★★ hip/knee complications 3.9% |
| Baptist Gulf Breeze Hospital [ORTHO-FOCUSED: Andrews Institute] | Hospital | $25,561negotiated | 1.2× | ★★★★★ hip/knee complications 5.8% |
| HCA Florida Capital Hospital (Tallahassee) | Hospital | $27,036negotiated | 1.2× | ★★★★★ hip/knee complications 4% |
| HCA Florida West Hospital (Pensacola) | Hospital | $27,063negotiated | 1.2× | ★★★★★ hip/knee complications 4.9% |
| Tallahassee Memorial HealthCare | Hospital | $27,212negotiated | 1.2× | ★★★★★ hip/knee complications 3.2% |
What should 469 cost in panhandle?
For Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in panhandle, a fair self-pay price is around $26,299, with hospitals ranging from $24,914 to $27,063 across 7 facilities. Medicare's benchmark rate is $22,072, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in panhandle?
A fair self-pay price for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in panhandle is around $26,299, with hospital prices ranging from $24,914 to $27,063 across 7 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 469?
Medicare pays about $22,072 for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of Major hip/knee joint replacement, inpatient, w/ MCC?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in panhandle
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.