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Surgery Center, the: surgery-center prices

An orthopedic ambulatory surgery center in Oxford, AL 36203. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$7,495
Medicare rate here
Hip (CPT 27130)
$7,652
Medicare rate here
Shoulder (CPT 23472)
$11,590
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Northeast Alabama Regional Medical Center10.2 mi$13,819$11,983$122,348
Gadsden Regional Medical Center30.6 mi$13,017$10,627$219,127
Riverview Regional Medical Center32.6 mi$11,868$10,524$137,178

6 operating rooms · Proprietary · certified since 2000 · ASC-17 hospital visits after orthopedic surgery: 2.4% (No Different Than the National Rate)

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Questions

How much does Medicare pay Surgery Center, the for a knee replacement?

About $7,495 for a total knee replacement (CPT 27447), $7,652 for a total hip (CPT 27130) and $11,590 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.6567).

How does that compare with the nearest hospital?

Northeast Alabama Regional Medical Center (10.2 mi) was paid an average of $13,819 per inpatient hip or knee replacement stay in 2024, $6,324 more than this surgery center's knee rate.

Does Alabama require a certificate of need for surgery centers?

Alabama requires a certificate of need for new surgery centers.