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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,470 | $159,117 | 12.8× | $11,768 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $15,052 | $140,788 | 9.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,708 | 2.9× | $27,954–$66,845 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Florida Blue | $66,845 | 5.4× | 1 |
| UnitedHealthcare | $37,677 | 3.0× | 1 |
| Cigna | $36,708 | 2.9× | 1 |
| Adventhealth | $34,263 | 2.7× | 1 |
| Aetna | $27,954 | 2.2× | 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.
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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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).
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.
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.
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.
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.