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Adventhealth Daytona Beach: what a joint replacement costs

Daytona Beach, FL 32117 · CMS Certification Number 100068. 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
East Coast Surgery Center, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 137 cases, APC 5115
Inpatient here
$14,208
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Daytona Beach

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,208$92,0216.5×$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$14,698$100,7576.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$39,0682.7×$28,193–$47,3706
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$47,3703.3×1
Adventhealth$41,1742.9×1
UnitedHealthcare$40,3552.8×1
Florida Health Care Plan$37,7812.7×1
Florida Blue$34,9832.5×1
Aetna$28,1932.0×1

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: 4.7% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 362 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 Daytona Beach for a knee or hip replacement?

In 2024 the average total payment to Adventhealth Daytona Beach for an inpatient hip or knee replacement stay was $14,208 (MS-DRG 470, 30 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, 137 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,021, 6.5× 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 Daytona Beach?

Yes for Medicare facility payments. East Coast Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,150 by Medicare for a knee replacement (CPT 27447), $6,058 less than an inpatient stay at Adventhealth Daytona Beach. Not every patient is a surgery-center candidate.

How does Adventhealth Daytona Beach compare with other Florida hospitals?

Adventhealth Daytona Beach's average total payment per Medicare stay is lower than 66% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Adventhealth Daytona 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 $39,068 across 6 insurers, ranging from $28,193 to $47,370.