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Adventhealth New Smyrna Beach: what a joint replacement costs

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.

Surgery center nearby
$8,150
Surgery Center of Volusia, the, 10.0 mi
Outpatient here
$11,906
Medicare allowed amount, 47 cases, APC 5115
Inpatient here
$15,951
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth New Smyrna Beach

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,951$63,9324.0×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,090$80,0915.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$42,2882.7×$25,076–$50,3154
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$50,3153.2×1
Florida Blue$46,9132.9×1
Aetna$37,6642.4×1
Florida Health Care Plan$25,0761.6×1

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.

Quality

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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Questions

How much does Medicare pay Adventhealth New Smyrna Beach for a knee or hip replacement?

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).

What is Adventhealth New Smyrna Beach's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Adventhealth New Smyrna Beach?

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.

How does Adventhealth New Smyrna Beach compare with other Florida hospitals?

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.

What do commercial insurers pay Adventhealth New Smyrna Beach 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 $42,288 across 4 insurers, ranging from $25,076 to $50,315.