Price AtlasInteractive atlas · All states · techysurgeon.comGadsden 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.
Medicare prices at Gadsden Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,017 | $219,127 | 16.8× | $10,627 |
| Shoulder replacement | — | — | — | $15,421 |
| Hip replacement after a fracture (DRG 522) | $13,914 | $217,536 | 15.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,126 | 1.6× | $13,650–$35,634 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $35,634 | 2.7× | 1 |
| NODE US Dept of Labor | $21,296 | 1.6× | 1 |
| Cigna | $20,956 | 1.6× | 1 |
| BCBS Alabama | $13,650 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Gadsden Regional Medical Center for an inpatient hip or knee replacement stay was $13,017 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Gadsden Regional Medical Center's average total payment per Medicare stay is lower than 79% of the 24 Alabama hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Gadsden Regional 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 $21,126 across 4 insurers, ranging from $13,650 to $35,634.