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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
Medicare allowed amount, 483 cases, APC 5115
Inpatient here
$18,436
Avg total payment (incl. patient share), 89 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Orlando

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$40,9062.2×$32,808–$69,1905
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Florida Blue$69,1903.8×1
Aetna$66,0583.6×1
UnitedHealthcare$40,9062.2×1
Cigna$38,5212.1×1
Adventhealth Castcare Disney$32,8081.8×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

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 the average total payment to Adventhealth Orlando for an inpatient hip or knee replacement stay was $18,436 (MS-DRG 470, 89 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?

Adventhealth Orlando's average total payment per Medicare stay is higher than 90% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Adventhealth Orlando for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,906 across 5 insurers, ranging from $32,808 to $69,190.