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Adventhealth Orlando: what a joint replacement costs

Orlando, FL 32803 · CMS Certification Number 100007. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,439
Downtown Surgery Center, 1.8 mi
Outpatient here
$11,802
483 Medicare cases, APC 5115
Inpatient here
$18,436
89 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Orlando

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,436$170,0989.2×$11,802
Shoulder replacement$21,873$195,3828.9×$16,716
Hip replacement after a fracture (DRG 522)$16,863$144,9948.6×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 3289 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Adventhealth Orlando for a knee or hip replacement?

In 2024 Medicare paid Adventhealth Orlando an average of $18,436 per inpatient hip or knee replacement stay (MS-DRG 470, 89 stays) and $11,802 per outpatient case (APC 5115, 483 cases).

What is Adventhealth Orlando's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $170,098, 9.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Adventhealth Orlando?

Yes for Medicare facility payments. Downtown Surgery Center, an orthopedic surgery center 1.8 mi away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $9,997 less than an inpatient stay at Adventhealth Orlando. Not every patient is a surgery-center candidate.

How does Adventhealth Orlando compare with other Florida hospitals?

Medicare paid Adventhealth Orlando more than 90% of the 88 Florida hospitals that report inpatient hip or knee replacement.