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Baldwin Health: what a joint replacement costs

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.

Surgery center nearby
$7,936
Usa Health Baldwin ASC, 10.4 mi
Outpatient here
$10,550
173 Medicare cases, APC 5115
Inpatient here
$15,190
23 Medicare stays, MS-DRG 470

Medicare prices at Baldwin Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,190$161,51310.6×$10,550
Shoulder replacement———$15,439
Hip replacement after a fracture (DRG 522)$15,808$166,33710.5×—

Quality

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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Questions

How much does Medicare pay Baldwin Health for a knee or hip replacement?

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).

What is Baldwin Health's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Baldwin Health?

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.

How does Baldwin Health compare with other Alabama hospitals?

Medicare paid Baldwin Health more than 92% of the 24 Alabama hospitals that report inpatient hip or knee replacement.