Price AtlasInteractive atlas · All states · techysurgeon.comAdventhealth Ocala: what a joint replacement costs
Ocala, FL 34474 · CMS Certification Number 100062. 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.
Medicare prices at Adventhealth Ocala
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,765 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $16,707 | $198,933 | 11.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,518 | — | $27,950–$53,363 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $53,363 | — | 1 |
| UnitedHealthcare | $46,999 | — | 1 |
| Florida Blue | $40,518 | — | 1 |
| Adventhealth | $34,975 | — | 1 |
| Aetna | $27,950 | — | 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: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 385 beds
Florida has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Florida hospitals
Questions
How much does Medicare pay Adventhealth Ocala for a knee or hip replacement?
The Medicare allowed amount averaged $11,765 per outpatient hip or knee replacement case (APC 5115, 34 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Adventhealth Ocala?
Yes for Medicare facility payments. Central Florida Eye Institute, an orthopedic surgery center same ZIP away, is paid about $8,610 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Adventhealth Ocala 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 $40,518 across 5 insurers, ranging from $27,950 to $53,363.