Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

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
Medicare allowed amount, 66 cases, APC 5115
Inpatient here
$12,802
Avg total payment (incl. patient share), 68 Medicare stays, MS-DRG 470

Medicare prices at Athens Limestone Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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.

Open the interactive price tagBuild a reportAll Alabama hospitals

Questions

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

In 2024 the average total payment to Athens Limestone Hospital for an inpatient hip or knee replacement stay was $12,802 (MS-DRG 470, 68 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?

Athens Limestone Hospital's average total payment per Medicare stay is lower than 83% of the 24 Alabama hospitals that report inpatient hip or knee replacement.