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Athens Limestone Hospital: what a joint replacement costs

Athens, AL 35611 · CMS Certification Number 010079. 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
$8,136
Madison Surgery Center, LLC, 19.6 mi
Outpatient here
$9,898
66 Medicare cases, APC 5115
Inpatient here
$12,802
68 Medicare stays, MS-DRG 470

Medicare prices at Athens Limestone Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,802$35,8522.8×$9,898
Shoulder replacement———$15,014
Hip replacement after a fracture (DRG 522)$13,995$36,9132.6×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 4.7%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 71 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Athens Limestone Hospital for a knee or hip replacement?

In 2024 Medicare paid Athens Limestone Hospital an average of $12,802 per inpatient hip or knee replacement stay (MS-DRG 470, 68 stays) and $9,898 per outpatient case (APC 5115, 66 cases).

What is Athens Limestone Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,852, 2.8× 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 Athens Limestone Hospital?

Yes for Medicare facility payments. Madison Surgery Center, LLC, an orthopedic surgery center 19.6 mi away, is paid about $8,136 by Medicare for a knee replacement (CPT 27447), $4,666 less than an inpatient stay at Athens Limestone Hospital. Not every patient is a surgery-center candidate.

How does Athens Limestone Hospital compare with other Alabama hospitals?

Medicare paid Athens Limestone Hospital less than 83% of the 24 Alabama hospitals that report inpatient hip or knee replacement.