Dothan, AL 36305 · CMS Certification Number 010055. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,382 | $147,430 | 11.0× | $10,916 |
| Shoulder replacement | $15,754 | $170,473 | 10.8× | $15,969 |
| Hip replacement after a fracture (DRG 522) | $13,796 | $131,216 | 9.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,197 | 1.4× | $17,463–$19,462 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $19,462 | 1.5× | 1 |
| UnitedHealthcare | $19,197 | 1.4× | 1 |
| BCBS Alabama | $17,463 | 1.3× | 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.
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 235 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Flowers Hospital for an inpatient hip or knee replacement stay was $13,382 (MS-DRG 470, 127 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,916 per outpatient case (APC 5115, 104 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $147,430, 11.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center South, an orthopedic surgery center 6.8 mi away, is paid about $7,463 by Medicare for a knee replacement (CPT 27447), $5,919 less than an inpatient stay at Flowers Hospital. Not every patient is a surgery-center candidate.
Flowers Hospital's average total payment per Medicare stay is lower than 67% of the 24 Alabama hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,197 across 3 insurers, ranging from $17,463 to $19,462.