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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,288 | 2.7× | $25,076–$50,315 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $50,315 | 3.2× | 1 |
| Florida Blue | $46,913 | 2.9× | 1 |
| Aetna | $37,664 | 2.4× | 1 |
| Florida Health Care Plan | $25,076 | 1.6× | 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: 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.
Open the interactive price tagBuild a reportAll Florida hospitals
In 2024 the average total payment to Adventhealth New Smyrna Beach for an inpatient hip or knee replacement stay was $15,951 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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. 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.
Adventhealth New Smyrna Beach's average total payment per Medicare stay is higher than 63% 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 $42,288 across 4 insurers, ranging from $25,076 to $50,315.