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Adventhealth Sebring: what a joint replacement costs

Sebring, FL 33872 · CMS Certification Number 100109. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,906
20 Medicare cases, APC 5115
Inpatient here
$17,609
13 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Sebring

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,609$91,7385.2×$11,906
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,729$116,3947.0×—

Quality

Complications after hip or knee replacement: 6.1% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 204 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 Sebring for a knee or hip replacement?

In 2024 Medicare paid Adventhealth Sebring an average of $17,609 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,906 per outpatient case (APC 5115, 20 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,738, 5.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Adventhealth Sebring compare with other Florida hospitals?

Medicare paid Adventhealth Sebring more than 83% of the 88 Florida hospitals that report inpatient hip or knee replacement.