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Adventhealth Wesley Chapel: what a joint replacement costs

Wesley Chapel, FL 33544 · CMS Certification Number 100319. 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
$8,501
New Tampa Surgery Center, 4.4 mi
Outpatient here
$11,768
Medicare allowed amount, 223 cases, APC 5115
Inpatient here
$12,470
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Wesley Chapel

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,470$159,11712.8×$11,768
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$15,052$140,7889.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,7082.9×$27,954–$66,8455
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Florida Blue$66,8455.4×1
UnitedHealthcare$37,6773.0×1
Cigna$36,7082.9×1
Adventhealth$34,2632.7×1
Aetna$27,9542.2×1

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: 4.7% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 169 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 Wesley Chapel for a knee or hip replacement?

In 2024 the average total payment to Adventhealth Wesley Chapel for an inpatient hip or knee replacement stay was $12,470 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,768 per outpatient case (APC 5115, 223 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $159,117, 12.8× 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 Wesley Chapel?

Yes for Medicare facility payments. New Tampa Surgery Center, an orthopedic surgery center 4.4 mi away, is paid about $8,501 by Medicare for a knee replacement (CPT 27447), $3,969 less than an inpatient stay at Adventhealth Wesley Chapel. Not every patient is a surgery-center candidate.

How does Adventhealth Wesley Chapel compare with other Florida hospitals?

Adventhealth Wesley Chapel's average total payment per Medicare stay is lower than 98% of the 88 Florida hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Adventhealth Wesley Chapel 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 $36,708 across 5 insurers, ranging from $27,954 to $66,845.