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North Alabama Medical Center: what a joint replacement costs

Florence, AL 35630 · CMS Certification Number 010006. 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
$7,516
Shoals Outpatient Surgery, same ZIP
Outpatient here
$10,657
Medicare allowed amount, 140 cases, APC 5115
Inpatient here
$13,112
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at North Alabama Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,112$75,6075.8×$10,657
Shoulder replacement———$14,587
Hip replacement after a fracture (DRG 522)$14,198$64,9854.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,4751.7×$9,659–$35,2912
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$35,2912.7×1
BCBS Alabama$9,6590.7×1

From the hospital's price-transparency file (2026-07-23); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-23); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 338 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay North Alabama Medical Center for a knee or hip replacement?

In 2024 the average total payment to North Alabama Medical Center for an inpatient hip or knee replacement stay was $13,112 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,657 per outpatient case (APC 5115, 140 cases).

What is North Alabama Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,607, 5.8× 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 North Alabama Medical Center?

Yes for Medicare facility payments. Shoals Outpatient Surgery, an orthopedic surgery center same ZIP away, is paid about $7,516 by Medicare for a knee replacement (CPT 27447), $5,596 less than an inpatient stay at North Alabama Medical Center. Not every patient is a surgery-center candidate.

How does North Alabama Medical Center compare with other Alabama hospitals?

North Alabama Medical Center's average total payment per Medicare stay is lower than 71% of the 24 Alabama hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay North Alabama 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 $22,475 across 2 insurers, ranging from $9,659 to $35,291.