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Providence Hospital: what a joint replacement costs

Mobile, AL 36608 · CMS Certification Number 010090. 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
$7,933
Mobile Surgery Center, same ZIP
Outpatient here
$10,540
77 Medicare cases, APC 5115
Inpatient here
$12,738
21 Medicare stays, MS-DRG 470

Medicare prices at Providence Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,738$35,6382.8×$10,540
Shoulder replacement———$15,292
Hip replacement after a fracture (DRG 522)$14,498$41,2922.8×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 349 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

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

In 2024 Medicare paid Providence Hospital an average of $12,738 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $10,540 per outpatient case (APC 5115, 77 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,638, 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 Providence Hospital?

Yes for Medicare facility payments. Mobile Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,933 by Medicare for a knee replacement (CPT 27447), $4,805 less than an inpatient stay at Providence Hospital. Not every patient is a surgery-center candidate.

How does Providence Hospital compare with other Alabama hospitals?

Medicare paid Providence Hospital less than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.