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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,208 | $92,021 | 6.5× | $11,906 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $14,698 | $100,757 | 6.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,068 | 2.7× | $28,193–$47,370 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $47,370 | 3.3× | 1 |
| Adventhealth | $41,174 | 2.9× | 1 |
| UnitedHealthcare | $40,355 | 2.8× | 1 |
| Florida Health Care Plan | $37,781 | 2.7× | 1 |
| Florida Blue | $34,983 | 2.5× | 1 |
| Aetna | $28,193 | 2.0× | 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.
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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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).
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.
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.
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.
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.