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St Vincent's Birmingham: what a joint replacement costs

Birmingham, AL 35205 · CMS Certification Number 010056. 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
$8,106
Uab St Vincent's Outpatient Surgery Services, LLC, same ZIP
Outpatient here
$10,828
802 Medicare cases, APC 5115
Inpatient here
$14,133
23 Medicare stays, MS-DRG 470

Medicare prices at St Vincent's Birmingham

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,133$57,8974.1×$10,828
Shoulder replacement$16,848$57,8993.4×$15,464
Hip replacement after a fracture (DRG 522)$13,833$61,0034.4×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 409 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Vincent's Birmingham for a knee or hip replacement?

In 2024 Medicare paid St Vincent's Birmingham an average of $14,133 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $10,828 per outpatient case (APC 5115, 802 cases).

What is St Vincent's Birmingham's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,897, 4.1× what Medicare paid. 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 St Vincent's Birmingham?

Yes for Medicare facility payments. Uab St Vincent's Outpatient Surgery Services, LLC, an orthopedic surgery center same ZIP away, is paid about $8,106 by Medicare for a knee replacement (CPT 27447), $6,027 less than an inpatient stay at St Vincent's Birmingham. Not every patient is a surgery-center candidate.

How does St Vincent's Birmingham compare with other Alabama hospitals?

Medicare paid St Vincent's Birmingham less than 50% of the 24 Alabama hospitals that report inpatient hip or knee replacement.