Fairhope, AL 36532 · CMS Certification Number 010100. 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 | $14,077 | $54,497 | 3.9× | $10,711 |
| Shoulder replacement | — | — | — | $14,843 |
| Hip replacement after a fracture (DRG 522) | $15,884 | $52,564 | 3.3× | — |
Complications after hip or knee replacement: 5.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 162 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Thomas Hospital an average of $14,077 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $10,711 per outpatient case (APC 5115, 144 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,497, 3.9× 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 same ZIP away, is paid about $7,936 by Medicare for a knee replacement (CPT 27447), $6,141 less than an inpatient stay at Thomas Hospital. Not every patient is a surgery-center candidate.
Medicare paid Thomas Hospital less than 58% of the 24 Alabama hospitals that report inpatient hip or knee replacement.