Rome, GA 30165 · CMS Certification Number 110168. 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 | $14,727 | $155,003 | 10.5× | $11,711 |
| Shoulder replacement | — | — | — | $16,649 |
| Hip replacement after a fracture (DRG 522) | $15,629 | $175,990 | 11.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,811 | 1.9× | $18,580–$40,808 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,808 | 2.8× | 1 |
| Private Healthcare Systems (rental network) | $40,436 | 2.7× | 1 |
| Humana | $37,499 | 2.5× | 1 |
| Alliant Health Plans | $27,811 | 1.9× | 1 |
| Aetna | $27,433 | 1.9× | 1 |
| Elevance/Anthem/Empire | $18,580 | 1.3× | 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: 6.5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 201 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Adventhealth Redmond for an inpatient hip or knee replacement stay was $14,727 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,711 per outpatient case (APC 5115, 152 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $155,003, 10.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Rome, an orthopedic surgery center same ZIP away, is paid about $8,455 by Medicare for a knee replacement (CPT 27447), $6,272 less than an inpatient stay at Adventhealth Redmond. Not every patient is a surgery-center candidate.
Adventhealth Redmond's average total payment per Medicare stay is lower than 78% of the 27 Georgia 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 $27,811 across 5 insurers, ranging from $18,580 to $40,808.