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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Gadsden Regional Medical Center less than 79% of the 24 Alabama hospitals that report inpatient hip or knee replacement.