New Smyrna Beach, FL 32170 · CMS Certification Number 100014. 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 | $15,951 | $63,932 | 4.0× | $11,906 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,090 | $80,091 | 5.3× | — |
Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 109 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Adventhealth New Smyrna Beach an average of $15,951 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,906 per outpatient case (APC 5115, 47 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $63,932, 4.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Volusia, the, an orthopedic surgery center 10.0 mi away, is paid about $8,150 by Medicare for a knee replacement (CPT 27447), $7,801 less than an inpatient stay at Adventhealth New Smyrna Beach. Not every patient is a surgery-center candidate.
Medicare paid Adventhealth New Smyrna Beach more than 63% of the 88 Florida hospitals that report inpatient hip or knee replacement.