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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,133 | $57,897 | 4.1× | $10,828 |
| Shoulder replacement | $16,848 | $57,899 | 3.4× | $15,464 |
| Hip replacement after a fracture (DRG 522) | $13,833 | $61,003 | 4.4× | — |
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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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).
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.
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.
Medicare paid St Vincent's Birmingham less than 50% of the 24 Alabama hospitals that report inpatient hip or knee replacement.