Anniston, AL 36207 · CMS Certification Number 010078. 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 | $13,819 | $122,348 | 8.9× | $11,983 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,136 | $126,972 | 8.4× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 1 of 5 stars. Government · Acute · 323 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Northeast Alabama Regional Medical Center an average of $13,819 per inpatient hip or knee replacement stay (MS-DRG 470, 71 stays) and $11,983 per outpatient case (APC 5115, 25 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,348, 8.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center, the, an orthopedic surgery center 10.2 mi away, is paid about $7,495 by Medicare for a knee replacement (CPT 27447), $6,324 less than an inpatient stay at Northeast Alabama Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Northeast Alabama Regional Medical Center less than 63% of the 24 Alabama hospitals that report inpatient hip or knee replacement.