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East Alabama Medical Center: what a joint replacement costs

Opelika, AL 36801 · CMS Certification Number 010029. 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
$7,512
Eamc-Lanier Ambulatory Surgery Center, 11.9 mi
Outpatient here
$10,963
45 Medicare cases, APC 5115
Inpatient here
$15,074
160 Medicare stays, MS-DRG 470

Medicare prices at East Alabama Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,074$30,5862.0×$10,963
Shoulder replacement———$15,185
Hip replacement after a fracture (DRG 522)$15,078$40,6332.7×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 429 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

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

In 2024 Medicare paid East Alabama Medical Center an average of $15,074 per inpatient hip or knee replacement stay (MS-DRG 470, 160 stays) and $10,963 per outpatient case (APC 5115, 45 cases).

What is East 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 $30,586, 2.0× 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 East Alabama Medical Center?

Yes for Medicare facility payments. Eamc-Lanier Ambulatory Surgery Center, an orthopedic surgery center 11.9 mi away, is paid about $7,512 by Medicare for a knee replacement (CPT 27447), $7,562 less than an inpatient stay at East Alabama Medical Center. Not every patient is a surgery-center candidate.

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

Medicare paid East Alabama Medical Center more than 79% of the 24 Alabama hospitals that report inpatient hip or knee replacement.