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Adventhealth Waterman: what a joint replacement costs

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.

Surgery center nearby
$8,439
Surgery Center of Mount Dora, 6.0 mi
Outpatient here
$11,706
154 Medicare cases, APC 5115
Inpatient here
$14,779
11 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Waterman

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,779$94,3536.4×$11,706
Shoulder replacement$17,544$129,8017.4×$16,537
Hip replacement after a fracture (DRG 522)$14,728$93,5436.4×—

Quality

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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Questions

How much does Medicare pay Adventhealth Waterman for a knee or hip replacement?

In 2024 Medicare paid Adventhealth Waterman an average of $14,779 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,706 per outpatient case (APC 5115, 154 cases).

What is Adventhealth Waterman's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,353, 6.4× what Medicare paid. 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 Waterman?

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.

How does Adventhealth Waterman compare with other Florida hospitals?

Medicare paid Adventhealth Waterman less than 58% of the 88 Florida hospitals that report inpatient hip or knee replacement.