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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,738 | $35,638 | 2.8× | $10,540 |
| Shoulder replacement | — | — | — | $15,292 |
| Hip replacement after a fracture (DRG 522) | $14,498 | $41,292 | 2.8× | — |
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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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).
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.
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.
Medicare paid Providence Hospital less than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.