Price AtlasInteractive atlas · All states · techysurgeon.comAdventhealth 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.
Medicare prices at Adventhealth Sebring
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,609 | $91,738 | 5.2× | $11,906 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,729 | $116,394 | 7.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $57,893 | 3.3× | $50,149–$65,637 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $65,637 | 3.7× | 1 |
| Florida Blue | $50,149 | 2.8× | 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: 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 the average total payment to Adventhealth Sebring for an inpatient hip or knee replacement stay was $17,609 (MS-DRG 470, 13 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, 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× the average total payment for a Medicare stay. 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?
Adventhealth Sebring's average total payment per Medicare stay is higher than 83% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Adventhealth Sebring 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 $57,893 across 2 insurers, ranging from $50,149 to $65,637.