Price AtlasInteractive atlas · All states · techysurgeon.comAdventhealth 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.
Medicare prices at Adventhealth Palm Coast
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,743 | $103,105 | 6.5× | $11,906 |
| Shoulder replacement | $24,662 | $119,411 | 4.8× | $16,567 |
| Hip replacement after a fracture (DRG 522) | $17,684 | $92,864 | 5.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,064 | 2.8× | $26,902–$50,531 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $50,531 | 3.2× | 1 |
| Cigna | $46,109 | 2.9× | 1 |
| Florida Health Care Plan | $44,064 | 2.8× | 1 |
| UnitedHealthcare | $42,197 | 2.7× | 1 |
| Aetna | $26,902 | 1.7× | 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: 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 the average total payment to Adventhealth Palm Coast for an inpatient hip or knee replacement stay was $15,743 (MS-DRG 470, 14 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, 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× the average total payment for a Medicare stay. 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?
Adventhealth Palm Coast's average total payment per Medicare stay is higher than 59% of the 88 Florida hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Adventhealth Palm Coast 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 $44,064 across 5 insurers, ranging from $26,902 to $50,531.