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Southeast Health Medical Center: what a joint replacement costs

Dothan, AL 36301 · CMS Certification Number 010001. 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
$7,463
Surgery Center South, same ZIP
Outpatient here
$10,806
Medicare allowed amount, 42 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Southeast Health Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,806
Shoulder replacement———$14,755
Hip replacement after a fracture (DRG 522)$15,790$84,3955.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,632—$10,349–$32,5003
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Alabama$32,500—1
UnitedHealthcare$21,632—1
Humana$10,349—1

From the hospital's price-transparency file (2026-03-10); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-10); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 420 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Southeast Health Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $10,806 per outpatient hip or knee replacement case (APC 5115, 42 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Southeast Health Medical Center?

Yes for Medicare facility payments. Surgery Center South, an orthopedic surgery center same ZIP away, is paid about $7,463 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Southeast Health Medical Center 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 $21,632 across 3 insurers, ranging from $10,349 to $32,500.