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Adventhealth Palm Coast: what a joint replacement costs

Palm Coast, FL 32164 · CMS Certification Number 100118. 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, 19.3 mi
Outpatient here
$11,906
96 Medicare cases, APC 5115
Inpatient here
$15,743
14 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Palm Coast

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,743$103,1056.5×$11,906
Shoulder replacement$24,662$119,4114.8×$16,567
Hip replacement after a fracture (DRG 522)$17,684$92,8645.3×—

Quality

Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 99 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 Palm Coast for a knee or hip replacement?

In 2024 Medicare paid Adventhealth Palm Coast an average of $15,743 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,906 per outpatient case (APC 5115, 96 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,105, 6.5× what Medicare paid. 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 Palm Coast?

Yes for Medicare facility payments. East Coast Surgery Center, an orthopedic surgery center 19.3 mi away, is paid about $8,150 by Medicare for a knee replacement (CPT 27447), $7,593 less than an inpatient stay at Adventhealth Palm Coast. Not every patient is a surgery-center candidate.

How does Adventhealth Palm Coast compare with other Florida hospitals?

Medicare paid Adventhealth Palm Coast more than 59% of the 88 Florida hospitals that report inpatient hip or knee replacement.