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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
152 Medicare cases, APC 5115
Inpatient here
$14,727
19 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Redmond

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Adventhealth Redmond an average of $14,727 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $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× what Medicare paid. 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?

Medicare paid Adventhealth Redmond less than 78% of the 27 Georgia hospitals that report inpatient hip or knee replacement.