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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Grandview Medical Center an average of $15,181 per inpatient hip or knee replacement stay (MS-DRG 470, 107 stays) and $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× what Medicare paid. 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.
Medicare paid Grandview Medical Center more than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.