Birmingham, AL 35243 · CMS Certification Number 010104. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,181 | $225,952 | 14.9× | $10,518 |
| Shoulder replacement | $16,690 | $333,257 | 20.0× | $14,820 |
| Hip replacement after a fracture (DRG 522) | $13,484 | $250,824 | 18.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,035 | 1.3× | $19,103–$20,686 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Alabama | $20,686 | 1.4× | 1 |
| Cigna | $20,035 | 1.3× | 1 |
| UnitedHealthcare | $19,103 | 1.3× | 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.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 422 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Grandview Medical Center for an inpatient hip or knee replacement stay was $15,181 (MS-DRG 470, 107 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,518 per outpatient case (APC 5115, 336 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $225,952, 14.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Institute of Alabama, an orthopedic surgery center 3.1 mi away, is paid about $8,106 by Medicare for a knee replacement (CPT 27447), $7,075 less than an inpatient stay at Grandview Medical Center. Not every patient is a surgery-center candidate.
Grandview Medical Center's average total payment per Medicare stay is higher than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,035 across 3 insurers, ranging from $19,103 to $20,686.