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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,868 | $137,178 | 11.6× | $10,524 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Riverview Regional Medical Center an average of $11,868 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $10,524 per outpatient case (APC 5115, 72 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $137,178, 11.6× 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 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.
Medicare paid Riverview Regional Medical Center less than 96% of the 24 Alabama hospitals that report inpatient hip or knee replacement.