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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,436 | $170,098 | 9.2× | $11,802 |
| Shoulder replacement | $21,873 | $195,382 | 8.9× | $16,716 |
| Hip replacement after a fracture (DRG 522) | $16,863 | $144,994 | 8.6× | — |
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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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).
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.
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.
Medicare paid Adventhealth Orlando more than 90% of the 88 Florida hospitals that report inpatient hip or knee replacement.