Price AtlasInteractive atlas · All states · techysurgeon.comProvidence 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.
Medicare prices at Providence Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,928 | 1.3× | $14,084–$17,808 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $17,808 | 1.4× | 1 |
| UnitedHealthcare | $17,771 | 1.4× | 1 |
| Devoted Health | $14,084 | 1.1× | 1 |
| Humana | $14,084 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay Providence Hospital for a knee or hip replacement?
In 2024 the average total payment to Providence Hospital for an inpatient hip or knee replacement stay was $12,738 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Providence Hospital's average total payment per Medicare stay is lower than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,928 across 4 insurers, ranging from $14,084 to $17,808.