Tavares, FL 32778 · CMS Certification Number 100057. 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 | $14,779 | $94,353 | 6.4× | $11,706 |
| Shoulder replacement | $17,544 | $129,801 | 7.4× | $16,537 |
| Hip replacement after a fracture (DRG 522) | $14,728 | $93,543 | 6.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,518 | 2.7× | $28,509–$45,004 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $45,004 | 3.0× | 1 |
| Adventhealth | $41,325 | 2.8× | 1 |
| Florida Blue | $40,518 | 2.7× | 1 |
| UnitedHealthcare | $34,277 | 2.3× | 1 |
| Aetna | $28,509 | 1.9× | 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: 3.8% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 269 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 Waterman for an inpatient hip or knee replacement stay was $14,779 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,706 per outpatient case (APC 5115, 154 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,353, 6.4× 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 Mount Dora, an orthopedic surgery center 6.0 mi away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $6,340 less than an inpatient stay at Adventhealth Waterman. Not every patient is a surgery-center candidate.
Adventhealth Waterman's average total payment per Medicare stay is lower than 58% 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 $40,518 across 5 insurers, ranging from $28,509 to $45,004.