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Riverview Regional Medical Center: what a joint replacement costs

Gadsden, AL 35901 · CMS Certification Number 010046. 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, same ZIP
Outpatient here
$10,524
Medicare allowed amount, 72 cases, APC 5115
Inpatient here
$11,868
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Riverview Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$11,868$137,17811.6×$10,524
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 281 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Riverview Regional Medical Center for an inpatient hip or knee replacement stay was $11,868 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,524 per outpatient case (APC 5115, 72 cases).

What is Riverview 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 $137,178, 11.6× 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 Riverview Regional Medical Center?

Yes for Medicare facility payments. Gadsden Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,693 by Medicare for a knee replacement (CPT 27447), $4,175 less than an inpatient stay at Riverview Regional Medical Center. Not every patient is a surgery-center candidate.

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

Riverview Regional Medical Center's average total payment per Medicare stay is lower than 96% of the 24 Alabama hospitals that report inpatient hip or knee replacement.