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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,906 | 2.2× | $32,808–$69,190 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $69,190 | 3.8× | 1 |
| Aetna | $66,058 | 3.6× | 1 |
| UnitedHealthcare | $40,906 | 2.2× | 1 |
| Cigna | $38,521 | 2.1× | 1 |
| Adventhealth Castcare Disney | $32,808 | 1.8× | 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.
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 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).
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.
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.
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.
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.