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Adventhealth Fish Memorial: what a joint replacement costs

Orange City, FL 32763 · CMS Certification Number 100072. 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
Adventhealth Surgery Center Blue Springs, same ZIP
Outpatient here
$11,906
Medicare allowed amount, 133 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Adventhealth Fish Memorial

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,906
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$39,855—$28,156–$51,6226
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Florida Blue$51,622—1
Adventhealth$41,174—1
Florida Health Care Plan$40,227—1
Cigna$39,483—1
UnitedHealthcare$37,669—1
Aetna$28,156—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: 3.4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 175 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 Fish Memorial for a knee or hip replacement?

The Medicare allowed amount averaged $11,906 per outpatient hip or knee replacement case (APC 5115, 133 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Adventhealth Fish Memorial?

Yes for Medicare facility payments. Adventhealth Surgery Center Blue Springs, an orthopedic surgery center same ZIP away, is paid about $8,150 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Adventhealth Fish Memorial 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 $39,855 across 6 insurers, ranging from $28,156 to $51,622.