Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

St Vincent's East: what a joint replacement costs

Birmingham, AL 35235 · CMS Certification Number 010011. 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
$8,106
Outpatient Services East Inc, same ZIP
Outpatient here
$10,684
Medicare allowed amount, 32 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St Vincent's East

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,684
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,433$56,8173.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,794—$15,351–$27,6415
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$27,641—1
Humana$27,599—1
Prime Health Services (rental network)$26,864—1
UnitedHealthcare$20,794—1
Aetna$16,318—1
Cooper Green$15,351—1

From the hospital's price-transparency file (2026-04-20); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-20); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 362 beds

Alabama requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll Alabama hospitals

Questions

How much does Medicare pay St Vincent's East for a knee or hip replacement?

The Medicare allowed amount averaged $10,684 per outpatient hip or knee replacement case (APC 5115, 32 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near St Vincent's East?

Yes for Medicare facility payments. Outpatient Services East Inc, an orthopedic surgery center same ZIP away, is paid about $8,106 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay St Vincent's East 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 $20,794 across 5 insurers, ranging from $15,351 to $27,641.