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Adventhealth Redmond: what a joint replacement costs

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.

Surgery center nearby
$8,455
Surgery Center of Rome, same ZIP
Outpatient here
$11,711
Medicare allowed amount, 152 cases, APC 5115
Inpatient here
$14,727
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Redmond

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,727$155,00310.5×$11,711
Shoulder replacement———$16,649
Hip replacement after a fracture (DRG 522)$15,629$175,99011.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,8111.9×$18,580–$40,8085
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$40,8082.8×1
Private Healthcare Systems (rental network)$40,4362.7×1
Humana$37,4992.5×1
Alliant Health Plans$27,8111.9×1
Aetna$27,4331.9×1
Elevance/Anthem/Empire$18,5801.3×1

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.

Quality

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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Questions

How much does Medicare pay Adventhealth Redmond for a knee or hip replacement?

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).

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

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.

Is a knee replacement cheaper at a surgery center near Adventhealth Redmond?

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.

How does Adventhealth Redmond compare with other Georgia hospitals?

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.

What do commercial insurers pay Adventhealth Redmond 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 $27,811 across 5 insurers, ranging from $18,580 to $40,808.