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Orlando Health Sebastian River Hospital: what a joint replacement costs

Sebastian, FL 32958 · CMS Certification Number 100217. 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
$8,092
The Advanced Center for Surgery, 11.9 mi
Outpatient here
$11,906
50 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Orlando Health Sebastian River Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,906
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$13,469$148,70311.0×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 145 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Orlando Health Sebastian River Hospital for a knee or hip replacement?

Medicare allowed an average of $11,906 per outpatient hip or knee replacement case (APC 5115, 50 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Orlando Health Sebastian River Hospital?

Yes for Medicare facility payments. The Advanced Center for Surgery, an orthopedic surgery center 11.9 mi away, is paid about $8,092 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.