Birmingham, AL 35211 · CMS Certification Number 010103. 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 | $14,080 | $176,455 | 12.5× | $9,974 |
| Shoulder replacement | — | — | — | $12,320 |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 505 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Princeton Baptist Medical Center an average of $14,080 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $9,974 per outpatient case (APC 5115, 28 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $176,455, 12.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Birmingham Surgery Center, an orthopedic surgery center 3.4 mi away, is paid about $8,106 by Medicare for a knee replacement (CPT 27447), $5,974 less than an inpatient stay at Princeton Baptist Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Princeton Baptist Medical Center less than 54% of the 24 Alabama hospitals that report inpatient hip or knee replacement.