Foley, AL 36535 · CMS Certification Number 010083. 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 | $15,190 | $161,513 | 10.6× | $10,550 |
| Shoulder replacement | — | — | — | $15,439 |
| Hip replacement after a fracture (DRG 522) | $15,808 | $166,337 | 10.5× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 112 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Baldwin Health an average of $15,190 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $10,550 per outpatient case (APC 5115, 173 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $161,513, 10.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Usa Health Baldwin ASC, an orthopedic surgery center 10.4 mi away, is paid about $7,936 by Medicare for a knee replacement (CPT 27447), $7,254 less than an inpatient stay at Baldwin Health. Not every patient is a surgery-center candidate.
Medicare paid Baldwin Health more than 92% of the 24 Alabama hospitals that report inpatient hip or knee replacement.