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Gadsden Regional Medical Center: what a joint replacement costs

Gadsden, AL 35903 · CMS Certification Number 010040. 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
$7,693
Gadsden Surgery Center, 5.3 mi
Outpatient here
$10,627
68 Medicare cases, APC 5115
Inpatient here
$13,017
19 Medicare stays, MS-DRG 470

Medicare prices at Gadsden Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,017$219,12716.8×$10,627
Shoulder replacement———$15,421
Hip replacement after a fracture (DRG 522)$13,914$217,53615.6×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 346 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Gadsden Regional Medical Center for a knee or hip replacement?

In 2024 Medicare paid Gadsden Regional Medical Center an average of $13,017 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $10,627 per outpatient case (APC 5115, 68 cases).

What is Gadsden Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $219,127, 16.8× 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 Gadsden Regional Medical Center?

Yes for Medicare facility payments. Gadsden Surgery Center, an orthopedic surgery center 5.3 mi away, is paid about $7,693 by Medicare for a knee replacement (CPT 27447), $5,324 less than an inpatient stay at Gadsden Regional Medical Center. Not every patient is a surgery-center candidate.

How does Gadsden Regional Medical Center compare with other Alabama hospitals?

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