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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,074 | $30,586 | 2.0× | $10,963 |
| Shoulder replacement | — | — | — | $15,185 |
| Hip replacement after a fracture (DRG 522) | $15,078 | $40,633 | 2.7× | — |
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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In 2024 the average total payment to East Alabama Medical Center for an inpatient hip or knee replacement stay was $15,074 (MS-DRG 470, 160 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,963 per outpatient case (APC 5115, 45 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $30,586, 2.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
East Alabama Medical Center's average total payment per Medicare stay is higher than 79% of the 24 Alabama hospitals that report inpatient hip or knee replacement.